Unknown Individual – Emergency Medicine Physician, NPI 1639156870
Emergency Medicine Physician
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Profile Insights
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Provider Addresses for Unknown Individual
Northport Drive, Godfrey, Madison County, Illinois, 62002, United States
ALTON, IL 620025904
Phone:
Mailing address matches the actual address.
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62002)
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