Granite City Physicians Corp
NPI #1508983214 in Granite City, Illinois
Provider Information
- NPI Number
- 1508983214
- Entity Type
- Organization
- Organization Name
- Granite City Physicians Corp
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2044 MADISON AVE
- Address 2
- SUITE 15
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4641
- Phone
- (618) 451-1500
Authorized Official
- Name
- GARY NEWSOME
- Title
- VICE PRESIDENT
- Phone
- (618) 451-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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