Organization
LEGATUS EMERGENCY SERVICES OF SOUTHERN ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK D BARRON (PRESIDENT)
(636) 728-1300
Entity
Organization
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
PO BOX 790126, DEPT 30535, SAINT LOUIS, MO 63179-0126
(800) 817-0903
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
10/21/2008
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