Immediate Convenient Care-Perryville, LLC

NPI #1851682025 in Perryville, Missouri

Provider Information

NPI Number: 1851682025
Entity Type: Organization
Organization Name: Immediate Convenient Care-Perryville, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SAINT FRANCIS HEALTHCARE SYSTEMS
Primary Specialty: Family Medicine
Enumeration Date: Apr 22, 2011
Last Updated: Apr 22, 2011

Practice Location

Address: 1508 EDGEMONT BLVD
City: Perryville
State: Missouri
ZIP Code: 63775-1231
Phone: (573) 517-7555

Authorized Official

Name: WILLIAM ANTHONY BALSANO
Title: VP FINANCIAL AFFAIRS
Phone: (573) 331-5228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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