Individual
DR. MARK W TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1415 E 3RD ST, CENTRALIA, IL 62801-4401
(618) 532-5432
(618) 532-1103
Mailing address
1415 E 3RD ST, CENTRALIA, IL 62801-4401
(618) 532-5432
(618) 532-1103
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
IL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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