Organization
MIDWEST EMERGENCY TELL CITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMON L GLOVER III DO (OWNER/PRESIDENT)
(618) 624-3368
Entity
Organization
Contact information
Practice address
8885 IN-237, TELL CITY, IN 47586
(618) 624-3368
Mailing address
320 E HIGHWAY 50, O FALLON, IL 62269-2704
(618) 624-3368
(618) 624-3387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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