Sam Gaines P C

NPI #1487536314 in Springfield, Illinois

Provider Information

NPI Number
1487536314
Entity Type
Organization
Organization Name
Sam Gaines P C
Primary Specialty
Internal Medicine
Enumeration Date
Jul 22, 2025
Last Updated
Jul 22, 2025

Practice Location

Address
120 N 11TH ST
ZIP Code
62703-1002
Phone
(217) 544-9858

Authorized Official

Name
SAM GAINES, MD
Title
OWNER
Phone
(217) 341-1726

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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