NPI | 1275065906 |
---|---|
Doing Business As | MEMORIAL EXPRESSCARE |
Entity Type | Organization |
Authorized Contact | JAMES T DOWELL President Mps 217-757-7716 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-03-31 |
Last Update Date | 2017-03-31 |