| NPI | 1770582157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M TAYLOR President Alton Orthopedic Clinic 618-462-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036-057070) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |