JAMES R DEBORD

PEORIA, IL
NPI1699783886
Other NameVASCULAR LABORATORY SERVICES
Entity TypeOrganization
Authorized ContactJAMES DEBORD
President
877-852-4669
Organization Subpart ?No
Primary Taxonomy2086S0129X Surgery Vascular Surgery
Enumeration Date2006-08-03
Last Update Date2011-06-01
Business Address
JAMES R DEBORD
5409 N KNOXVILLE AVE
PEORIA, IL 61614-5016
Phone number: 877-852-4669
Mailing Address
JAMES R DEBORD
PO BOX 10140
PEORIA, IL 61612-0140
Phone number: 877-852-4669