Organization
CAPITOL HEALTHCARE MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. TRAVIS DOWELL (VICE PRESIDENT HCNA AND OPERATIONS)
(217) 788-3342
Entity
Organization
Contact information
Practice address
2603 S 6TH ST, SPRINGFIELD, IL 62703-3807
(217) 528-0307
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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