Integrated Medical Group, Ltd
NPI #1023175098 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1023175098
- Entity Type
- Organization
- Organization Name
- Integrated Medical Group, Ltd
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Nov 13, 2009
Practice Location
- Address
- 435-B SOUTH BUCHANAN ST
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-2091
- Phone
- (618) 692-6700
Authorized Official
- Name
- DR. DAVID MICHAEL THAYER, DC
- Title
- OWNER
- Phone
- (618) 654-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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