Individual
SHIRLEY DALLMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3307 BROADWAY ST STE 130, PHYSICIAN RURAL HEALTH CLINIC OF JEFFERSON COUNTY, MOUNT VERNON, IL 62864-2387
(618) 244-7200
(618) 244-7274
Mailing address
3307 BROADWAY ST STE 140, CARE FIRST MEDICAL CENTER, MOUNT VERNON, IL 62864-2387
(618) 244-7200
(618) 244-7274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000622
IL
Other
Enumeration date
08/21/2006
Last updated
10/24/2011
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