VIRGIL D. SHORT

BLOOMINGTON, IL
NPI1588867386
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036-039956)
Enumeration Date2007-06-08
Last Update Date2007-07-08
Business Address
-- VIRGIL D. SHORT
326 FAIRWAY DR
BLOOMINGTON, IL 61701-3462
Phone number: 309-662-5361
Mailing Address
-- VIRGIL D. SHORT
326 FAIRWAY DR
BLOOMINGTON, IL 61701-3462
Phone number: 309-662-5361
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