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Organization

BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS C DESPAIN MD (PRESIDENT)
(618) 234-2566
Entity
Organization

Contact information

Practice address
311 W LINCOLN ST STE 200, BELLEVILLE, IL 62220-1902
(618) 234-2566
(618) 234-5650
Mailing address
311 W LINCOLN ST, SUITE 300, BELLEVILLE, IL 62220-1902
(618) 234-2566
(618) 234-5650

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/30/2007
Last updated
01/05/2022
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