MR. Justin L Northcutt, PA-C
NPI #1194351668 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1194351668
- Entity Type
- Individual
- Name
- MR. Justin L Northcutt, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 17, 2020
- Last Updated
- Mar 17, 2020
Practice Location
- Address
- 8 DOCTORS PARK RD
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6224
- Phone
- (618) 244-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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