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MR. Phillip R Erthall, PAC

NPI #1255446886 in Herrin, Illinois

Provider Information

NPI Number
1255446886
Entity Type
Individual
Name
MR. Phillip R Erthall, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Aug 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
510 LINCOLN DRIVE
Address 2
SOUTHERN ORTHOPEDIC ASSOCIATES SC
City
Herrin
State
Illinois
ZIP Code
62948
Phone
(618) 997-6800

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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