Midwest Emergency Anderson Health, INC

NPI #1710647615 in Staunton, Illinois

Provider Information

NPI Number: 1710647615
Entity Type: Organization
Organization Name: Midwest Emergency Anderson Health, INC
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 20, 2021
Last Updated: Dec 21, 2021

Practice Location

Address: 400 N CALDWELL ST
City: Staunton
State: Illinois
ZIP Code: 62088-1173
Phone: (618) 635-2200

Authorized Official

Name: CARMON L GLOVER III, DO
Title: PRESIDENT/OWNER
Phone: (618) 206-3313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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