The Country Doctor, Ltd.
NPI #1750553749 in Belleville, Illinois
Provider Information
- NPI Number
- 1750553749
- Entity Type
- Organization
- Organization Name
- The Country Doctor, Ltd.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 31, 2008
- Last Updated
- Mar 31, 2008
Practice Location
- Address
- 2310 COUNTRY RD
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-2570
- Phone
- (618) 277-3197
Authorized Official
- Name
- DR. DAVID LARRY MITCHELL, M.D.
- Title
- PHYSICIAN/PRESIDENT
- Phone
- (618) 277-3197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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