CROSSROADS PHYSICIAN CORP

MOUNT VERNON, IL
NPI1871587881
Entity TypeOrganization
Authorized ContactDEBBIE T BREWER
Director Of Provider Enrollment
615-465-7626
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2005-09-06
Last Update Date2007-09-18
Business Address
CROSSROADS PHYSICIAN CORP
1009 S 42ND ST SUITE #2
MOUNT VERNON, IL 62864-6218
Phone number: 618-246-0400
Mailing Address
CROSSROADS PHYSICIAN CORP
1009 S 42ND ST SUITE #2
MOUNT VERNON, IL 62864-6218
Phone number: 618-246-0400
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