James R Debord

NPI #1699783886 in Peoria, Illinois

Provider Information

NPI Number
1699783886
Entity Type
Organization
Organization Name
James R Debord
Primary Specialty
Surgery - Vascular Surgery
Enumeration Date
Aug 3, 2006
Last Updated
Jun 1, 2011

Practice Location

Address
5409 N KNOXVILLE AVE
City
Peoria
ZIP Code
61614-5016
Phone
(877) 852-4669

Authorized Official

Name
JAMES DEBORD, M.D.
Title
PRESIDENT
Phone
(877) 852-4669

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery

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