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Physicians Orthopaedic Surgery

Provider NPI: 1467618280

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 618-795-8431  Fax: --

Business Mailing Address:
Tel: 618-795-8431  Fax: --

NPI Information:
NPI: 1467618280
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Orthopaedic Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207X00000X





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