Organization
SIMPLY THE BREAST, LLC
Active
Other names
ADVANCEDTECH BREAST IMAGING SPECIALISTS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R HORACE (PRESIDENT)
(618) 973-8740
Entity
Organization
Contact information
Practice address
500 N MAPLE ST, EFFINGHAM, IL 62401-2005
(217) 342-6266
(217) 342-6269
Mailing address
500 N MAPLE ST, EFFINGHAM, IL 62401-2005
(217) 342-6266
(217) 342-6269
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
03/15/2012
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