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Organization

DR. MARY MIOUX-BERRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY A MIOUX-BERRY DO (OWNER)
(618) 288-3610
Entity
Organization

Contact information

Practice address
3407 S STATE ROUTE 157, SUITE 3, GLEN CARBON, IL 62034-1042
(618) 288-3610
Mailing address
3407 S STATE ROUTE 157, SUITE 3, GLEN CARBON, IL 62034-1042
(618) 288-3610

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
01/08/2007
Last updated
08/22/2020
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