RUSSELL COULTER

SPARTA, IL
NPI1548227606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036064147)
Enumeration Date2006-05-01
Last Update Date2020-06-04
Business Address
RUSSELL COULTER MD
FAMILY HEALTH CENTRE 207 SOUTH BURNS AVE
SPARTA, IL 62286
Phone number: 618-443-3084
Mailing Address
RUSSELL COULTER MD
FAMILY HEALTH CENTRE 207 SOUTH BURNS AVE
SPARTA, IL 62286
Phone number: 618-443-3084
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