Dm Physicians of Belleville Il, LLC

NPI #1073564878 in Belleville, Illinois

Provider Information

NPI Number: 1073564878
Entity Type: Organization
Organization Name: Dm Physicians of Belleville Il, LLC
Primary Specialty: Specialist
Enumeration Date: May 15, 2006
Last Updated: Oct 5, 2007

Practice Location

Address: 211 S 3RD ST
City: Belleville
State: Illinois
ZIP Code: 62220-1915
Phone: (618) 234-2120

Authorized Official

Name: RICHARD A SNOW
Title: MANAGING PARTNER
Phone: (336) 884-1830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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