Individual
JUSTIN D FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
321 REGENCY PARK STE 100, O FALLON, IL 62269-1887
(618) 416-7970
(618) 416-7971
Mailing address
210W MCKINLEY AVE 1, DECATUR, IL 62526-5858
(217) 877-9442
(217) 876-6606
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036112641
IL
207RX0202X
Medical Oncology Physician
2001014924
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112641
—
IL
Enumeration date
10/05/2006
Last updated
12/08/2023
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