Individual
ELIZABETH ANN BIAGI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 S ELM ST, CENTRALIA, IL 62801-3907
(618) 532-6221
Mailing address
317 S ELM ST, CENTRALIA, IL 62801-3907
(618) 532-6221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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