DAVID A HIRSTIUS

QUINCY, IL
NPI1780747170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036112783)
Additional Taxonomies208D00000X General Practice
(Licence: IL  036112783)
Enumeration Date2006-12-18
Last Update Date2009-12-07
Business Address
-- DAVID A HIRSTIUS DO
1707 N 12TH ST
QUINCY, IL 62301
Phone number: 217-222-8641
Mailing Address
-- DAVID A HIRSTIUS DO
1707 N 12TH ST BLDG 29M
QUINCY, IL 62301
Phone number: 217-222-9487