Granite City Emergency Medicine Providers LLC
NPI #1861946626 in Carbondale, Illinois
Provider Information
- NPI Number
- 1861946626
- Entity Type
- Organization
- Organization Name
- Granite City Emergency Medicine Providers LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Aug 10, 2016
- Last Updated
- Jan 24, 2017
Practice Location
- Address
- 2250 N ILLINOIS AVE
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-5612
- Phone
- (618) 833-1691
Authorized Official
- Name
- DANIEL DOOLITTLE, MD
- Title
- CEO
- Phone
- (618) 833-1691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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