John Hall MD Rural Health Services
NPI #1871706374 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1871706374
- Entity Type
- Organization
- Organization Name
- John Hall MD Rural Health Services
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- May 8, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 3505 BROADWAY ST STE A
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2202
- Phone
- (618) 244-7788
Authorized Official
- Name
- MS. CATHY D LISENBY, PA-C
- Title
- OFFICE MANAGER
- Phone
- (618) 244-7788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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