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
- City
- Springfield
- State
- Illinois
- 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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