Centercore Medical LLC

NPI #1306161427 in Herrin, Illinois

Provider Information

NPI Number
1306161427
Entity Type
Organization
Organization Name
Centercore Medical LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Mar 31, 2010
Last Updated
Mar 31, 2010

Practice Location

Address
720 S PARK AVE
City
Herrin
ZIP Code
62948-3816
Phone
(618) 713-6286

Authorized Official

Name
CORENE MAVIGLIANO
Title
OWNER
Phone
(618) 713-6286

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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