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1104007111
SOUTHERN ILLINOIS OTOLARYNGOLOGY, LTD
BELLEVILLE, IL
NPI
1104007111
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Entity Type
Organization
Authorized Contact
LARRY CURTIS DOBBS
President
618-235-8082
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2007-11-19
Last Update Date
2008-01-07
Business Address
SOUTHERN ILLINOIS OTOLARYNGOLOGY, LTD
2900 FRANK SCOTT PKWY W SUITE 930
BELLEVILLE, IL 62223-5000
Phone number: 618-235-8082
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Mailing Address
SOUTHERN ILLINOIS OTOLARYNGOLOGY, LTD
2900 FRANK SCOTT PKWY W SUITE 930
BELLEVILLE, IL 62223-5000
Phone number: 618-235-8082
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