Organization
MIDWEST EMERGENCY ANDERSON HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMON L GLOVER III DO (PRESIDENT/OWNER)
(618) 206-3313
Entity
Organization
Contact information
Practice address
400 N CALDWELL ST, STAUNTON, IL 62088-1173
(618) 635-2200
Mailing address
320 E HIGHWAY 50, O FALLON, IL 62269-2704
(618) 206-3313
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/21/2021
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