Individual
JEFFREY AMPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301
(217) 223-8400
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036144151
IL
Other
Enumeration date
03/22/2015
Last updated
08/03/2023
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