Organization
INTEGRATED MEDICAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL THAYER DC (OWNER)
(618) 624-8080
Entity
Organization
Contact information
Practice address
1317 WEST HIGHWAY 50, O'FALLON, IL 62269
(618) 624-8080
(618) 692-6711
Mailing address
PO BOX 997, EDWARDSVILLE, IL 62025-0997
(618) 624-8080
(618) 692-6711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/14/2008
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