| NPI | 1861706814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOHN CLANAHAN President 618-277-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2025-01-09 |