LOGAN PRIMARY CARE SERVICE CORPORATION

HERRIN, IL
NPI1821105974
Entity TypeOrganization
Authorized ContactTARA G DEATON
Administrator
618-993-3300
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036099669)
Enumeration Date2006-08-24
Last Update Date2007-11-29
Business Address
LOGAN PRIMARY CARE SERVICE CORPORATION
405 RUSHING DRIVE
HERRIN, IL 62948
Phone number: 618-993-3300
Mailing Address
LOGAN PRIMARY CARE SERVICE CORPORATION
405 RUSHING DRIVE
HERRIN, IL 62948
Phone number: 618-993-3300
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