Old Six Mile Inpatient Services, LLC

NPI #1285060665 in Granite City, Illinois

Provider Information

NPI Number
1285060665
Entity Type
Organization
Organization Name
Old Six Mile Inpatient Services, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Sep 18, 2013
Last Updated
Dec 10, 2013

Practice Location

Address
2100 MADISON AVE
ZIP Code
62040-4701
Phone
(618) 798-3000

Authorized Official

Name
DOUGLAS WEBSTER, DO
Title
PRESIDENT
Phone
(469) 401-2386

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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