Individual
DAMON T VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HEALTH CARE DR, GREENVILLE, IL 62246-1154
(618) 664-1230
Mailing address
701 S SKINKER BLVD, #304, ST LOUIS, MO 63105
(314) 374-1973
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036149164
IL
207P00000X
Emergency Medicine Physician
2007011143
MO
Other
Enumeration date
03/06/2007
Last updated
05/28/2019
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