Organization
INTERNAL MEDICINE O F HIGHLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A. HALVORSON M.D. (PRESIDENT)
(618) 288-0030
Entity
Organization
Contact information
Practice address
6810 STATE ROUTE 162, SUITE 109, MARYVILLE, IL 62062-8501
(618) 288-0030
(618) 288-0433
Mailing address
6810 STATE ROUTE 162, SUITE 109, MARYVILLE, IL 62062-8501
(618) 288-0030
(618) 288-0433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
06/18/2006
Last updated
08/22/2020
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