Marty Caudle, PA

NPI #1639318645 in Greenville, Illinois

Provider Information

NPI Number: 1639318645
Entity Type: Individual
Name: Marty Caudle, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 13, 2009
Last Updated: Jan 5, 2024

Practice Location

Address: 404 DURLEY ST
City: Greenville
State: Illinois
ZIP Code: 62246
Phone: (618) 690-3595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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