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Organization

MOUNT VERNON EMERGENCY GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK MITCHELL DO (PRESIDENT)
(800) 893-9698
Entity
Organization

Contact information

Practice address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE201, LAFAYETTE, LA 70508-3870

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
10/05/2012
Last updated
02/11/2013
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