| NPI | 1396142139 |
|---|---|
| Doing Business As | MEMORIAL MEDICAL GROUP AFTER HOURS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES B DAVIS Executive Director 618-622-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2016-06-14 |