Jefferson Street Clinic, Sc
NPI #1366637258 in Morton, Illinois
Provider Information
- NPI Number
- 1366637258
- Entity Type
- Organization
- Organization Name
- Jefferson Street Clinic, Sc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 13, 2007
- Last Updated
- Sep 13, 2007
Practice Location
Authorized Official
- Name
- DR. LARRY STEPHEN PATTON, D.O.
- Title
- PRESIDENT
- Phone
- (309) 266-9711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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