DR.KENBROSHDDSPC

MASCOUTAH, IL
NPI1134399421
Entity TypeOrganization
Authorized ContactKEN NEAL BROSH
Pres.
618-566-7000
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: IL  019019341)
Enumeration Date2008-03-03
Last Update Date2008-03-03
Business Address
DR.KENBROSHDDSPC
1180 N 6TH ST
MASCOUTAH, IL 62258-1178
Phone number: 618-566-7000
Mailing Address
DR.KENBROSHDDSPC
1180 N 6TH ST
MASCOUTAH, IL 62258-1178
Phone number: 618-566-7000