Edwardsville Physicians Group LLC
NPI #1376014175 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1376014175
- Entity Type
- Organization
- Organization Name
- Edwardsville Physicians Group LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Dec 6, 2018
- Last Updated
- Dec 6, 2018
Practice Location
- Address
- 441 SOUTH STATE ROUTE 157 SUITE 102
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-4012
- Phone
- (618) 254-2273
Authorized Official
- Name
- MICHAEL HARBISON, DC
- Title
- PRESIDENT/OWNER
- Phone
- (618) 254-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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