EDMUNDO DAVID SANDOVAL

MARION, IL
NPI1437235660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL  03607312)
Enumeration Date2006-10-31
Last Update Date2007-07-08
Business Address
-- EDMUNDO DAVID SANDOVAL MD
VA MEDICAL CENTER 2459 W MAIN ST
MARION, IL 62959
Phone number: 618-997-5311
Mailing Address
-- EDMUNDO DAVID SANDOVAL MD
VA MEDICAL CENTER 2459 W MAIN STREET
MARION, IL 62959
Phone number: 618-997-5311