PODIATRY MEDICAL SURGICAL CENTER

MATTOON, IL
NPI1326228149
Entity TypeOrganization
Authorized ContactRALPH YOUNG LATHROP
Owner
217-234-3234
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: IL  016002560)
Enumeration Date2007-11-08
Last Update Date2007-11-15
Business Address
PODIATRY MEDICAL SURGICAL CENTER
821 CHARLESTON AVE
MATTOON, IL 61938-4202
Phone number: 217-234-3234
Mailing Address
PODIATRY MEDICAL SURGICAL CENTER
821 CHARLESTON AVE
MATTOON, IL 61938-4202
Phone number: 217-234-3234
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