Robert D Childers MD Sc
NPI #1699962498 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1699962498
- Entity Type
- Organization
- Organization Name
- Robert D Childers MD Sc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 26, 2007
- Last Updated
- Feb 25, 2008
Practice Location
- Address
- 400 MAPLE SUMMIT RD
- Address 2
- STE 300
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052-2028
- Phone
- (618) 498-8470
Authorized Official
- Name
- ROBERT DUNCAN CHILDERS, MD
- Title
- PRESIDENT
- Phone
- (618) 498-8470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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