Individual
GEOFFREY EDWARD BEMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 W ELM ST, ALTON, IL 62002-5126
(618) 593-7238
Mailing address
240 W ELM ST, ALTON, IL 62002-5126
(618) 593-7238
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010355
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038010355
—
IL
Enumeration date
12/29/2006
Last updated
09/19/2012
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