Southern Illinois Otolaryngology, Ltd

NPI #1104007111 in Belleville, Illinois

Provider Information

NPI Number: 1104007111
Entity Type: Organization
Organization Name: Southern Illinois Otolaryngology, Ltd
Primary Specialty: Otolaryngology
Enumeration Date: Nov 19, 2007
Last Updated: Jan 7, 2008

Practice Location

Address: 2900 FRANK SCOTT PKWY W
Address 2: SUITE 930
City: Belleville
State: Illinois
ZIP Code: 62223-5000
Phone: (618) 235-8082

Authorized Official

Name: DR. LARRY CURTIS DOBBS, M.D.
Title: PRESIDENT
Phone: (618) 235-8082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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