Midwest Phyisician Associates Ltd

NPI #1205291846 in Glen Carbon, Illinois

Provider Information

NPI Number: 1205291846
Entity Type: Organization
Organization Name: Midwest Phyisician Associates Ltd
Primary Specialty: General Practice
Enumeration Date: Dec 28, 2015
Last Updated: Aug 25, 2016

Practice Location

Address: 8 GINGER CREEK PKWY
City: Glen Carbon
State: Illinois
ZIP Code: 62034-3502
Phone: (618) 692-6700

Authorized Official

Name: MR. DAVID THAYER, DC
Title: PRESIDENT
Phone: (618) 692-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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