Joan K Selburg, CST

NPI #1063538940 in Peoria, Illinois

Provider Information

NPI Number
1063538940
Entity Type
Individual
Name
Joan K Selburg, CST
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Technologist
Credential
CST
Enumeration Date
Mar 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
120 NE GLEN OAK AVE
Address 2
SUITE 407
City
Peoria
ZIP Code
61603-4301
Phone
(309) 672-5975

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical TechnologistSurgical Technologist

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