Organization
ASSOICATED PHYSICIANS GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE L CARSON (BILLING SUP)
(618) 632-8611
Entity
Organization
Contact information
Practice address
1011 SOUTH, SUITE 3B, COLUMBIA, IL 62236
(618) 628-8211
(618) 628-0883
Mailing address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
042617962
IL
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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