JUSTIN L NORTHCUTT

MOUNT VERNON, IL
NPI1194351668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085007547)
Enumeration Date2020-03-17
Last Update Date2020-03-17
Business Address
Mr. JUSTIN L NORTHCUTT PA-C
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864-6224
Phone number: 618-244-5500
Mailing Address
Mr. JUSTIN L NORTHCUTT PA-C
12415 SOMERSET PLACE DR APT J
SAINT LOUIS, MO 63128-2243
Phone number: