Simply the Breast, LLC

NPI #1750554960 in Effingham, Illinois

Provider Information

NPI Number
1750554960
Entity Type
Organization
Organization Name
Simply the Breast, LLC
Primary Specialty
Clinic/Center - Radiology, Mammography
Enumeration Date
Apr 9, 2008
Last Updated
Mar 15, 2012

Practice Location

Address
500 N MAPLE ST
ZIP Code
62401-2005
Phone
(217) 342-6266

Authorized Official

Name
MR. DAVID R HORACE
Title
PRESIDENT
Phone
(618) 973-8740

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Radiology, MammographyRadiology, Mammography

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