Organization
BONHAM EMERGENCY MEDICINE LLC
Active
Other names
GEMS Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY F YATES MD (PRESIDENT)
(618) 277-5974
Entity
Organization
Contact information
Practice address
76 CARLYLE PLAZA DR, BELLEVILLE, IL 62221-6677
(618) 416-6560
(618) 416-6561
Mailing address
76 CARLYLE PLAZA DR, BELLEVILLE, IL 62221-6677
(618) 416-6560
(618) 416-6561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
01/24/2012
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