Saint Anthony's Physician Group

NPI #1750497319 in Alton, Illinois

Provider Information

NPI Number: 1750497319
Entity Type: Organization
Organization Name: Saint Anthony's Physician Group
Primary Specialty: Internal Medicine
Enumeration Date: Aug 23, 2006
Last Updated: Dec 23, 2014

Practice Location

Address: 2 SAINT ANTHONYS WAY
Address 2: SUITE 205
City: Alton
State: Illinois
ZIP Code: 62002-4569
Phone: (618) 462-2222

Authorized Official

Name: MR. MICHAEL L NELSON
Title: EXECUTIVE VICE-PRESIDENT/CFO
Phone: (618) 463-5616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Radiology - Radiation Oncology — Radiation Oncology	2085R0001X
Surgery	208600000X
Physician Assistant - Medical — Medical	363AM0700X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Otolaryngology	207Y00000X
Internal Medicine	207R00000X	Primary

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