Ambulatory Medical Associates LLC

NPI #1306040878 in Normal, Illinois

Provider Information

NPI Number
1306040878
Entity Type
Organization
Organization Name
Ambulatory Medical Associates LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jun 11, 2007
Last Updated
Nov 20, 2013

Practice Location

Address
2010 JACOBSSEN DR
City
Normal
ZIP Code
61761-6280
Phone
(309) 452-0995

Authorized Official

Name
PHOEBE PANOPIO, MD
Title
DR
Phone
(309) 452-0995

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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