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1124634449
REDBIRD PEDIATRICS, PLLC
O FALLON, IL
NPI
1124634449
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Entity Type
Organization
Authorized Contact
KEVIN PONCIROLI
Pediatrician
618-668-2473
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2020-09-22
Last Update Date
2021-03-02
Business Address
REDBIRD PEDIATRICS, PLLC
793 SUNSET BLVD
O FALLON, IL 62269-1960
Phone number: 618-668-2473
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Mailing Address
REDBIRD PEDIATRICS, PLLC
793 SUNSET BLVD
O FALLON, IL 62269-1960
Phone number: 618-668-2473
Copy
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