CROSSROADS PHYSICIAN CORP

MOUNT VERNON, IL
NPI1417941436
Doing Business AsCROSSROADS SURGICAL ASSOCIATES
Entity TypeOrganization
Authorized ContactDEBBIE T BREWER
Director Of Provider Enrollment
615-465-7626
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
Enumeration Date2005-09-06
Last Update Date2007-10-30
Business Address
CROSSROADS PHYSICIAN CORP
209 CROSSROADS PL SUITE 130
MOUNT VERNON, IL 62864-6254
Phone number: 618-242-3831
Mailing Address
CROSSROADS PHYSICIAN CORP
209 CROSSROADS PL SUITE 130
MOUNT VERNON, IL 62864-6254
Phone number: 618-242-3831