Organization
MARYVILLE INTERNAL MEDICINE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN B. GARNER M.D. (PRESIDENT)
(618) 288-2120
Entity
Organization
Contact information
Practice address
6810 STATE ROUTE 162, SUITE 205, MARYVILLE, IL 62062-8501
(618) 288-2120
(618) 288-2123
Mailing address
6810 STATE ROUTE 162, SUITE 205, MARYVILLE, IL 62062-8501
(618) 288-2120
(618) 288-2123
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
IL
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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