St .clair Pedaitrics, LLC

NPI #1073705737 in Swansea, Illinois

Provider Information

NPI Number: 1073705737
Entity Type: Organization
Organization Name: St .clair Pedaitrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: Aug 15, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 4941 BENCHMARK CENTRE DR
Address 2: SUITE 100
City: Swansea
State: Illinois
ZIP Code: 62226-2038
Phone: (618) 624-9970

Authorized Official

Name: DR. GREGORY T GARRISON, M.D.
Title: OWNER
Phone: (618) 624-9970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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