Individual
MRS. COURTNEY M GUEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4700 MEMORIAL DR STE 300, BELLEVILLE, IL 62226-5374
(618) 234-9884
Mailing address
4700 MEMORIAL DR STE 300, BELLEVILLE, IL 62226-5374
(618) 234-9884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006388
IL
Other
Enumeration date
09/01/2017
Last updated
03/25/2022
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