CROSSROADS PHYSICIANS CORP

BENTON, IL
NPI1144286717
Entity TypeOrganization
Authorized ContactDEBBIE T BREWER
Director Of Provider Enrollment
615-465-7626
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-04-24
Last Update Date2008-01-02
Business Address
CROSSROADS PHYSICIANS CORP
203 BAILEY LN
BENTON, IL 62812-1969
Phone number: 618-438-3621
Mailing Address
CROSSROADS PHYSICIANS CORP
203 BAILEY LN
BENTON, IL 62812-1969
Phone number: 618-438-3621
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