Medical Arts Clinic Ltd
NPI #1528035821 in Murphysboro, Illinois
Provider Information
- NPI Number
- 1528035821
- Entity Type
- Organization
- Organization Name
- Medical Arts Clinic Ltd
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 19 E SHAWNEE DR
- City
- Murphysboro
- State
- Illinois
- ZIP Code
- 62966-7049
- Phone
- (618) 684-2172
Authorized Official
- Name
- DALE W BLAISE, MD
- Title
- PRESIDENT
- Phone
- (618) 684-2172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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