| NPI | 1831337450 |
|---|---|
| Doing Business As | ST MARYS GOOD SAMARITAN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TAMMY L SIMONTON Billing Mng 618-436-6267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036113387) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |