Orthopedic & Sports Medicine Clinic, P.c.

NPI #1982637658 in Alton, Illinois

Provider Information

NPI Number: 1982637658
Entity Type: Organization
Organization Name: Orthopedic & Sports Medicine Clinic, P.c.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jul 8, 2006
Last Updated: Mar 11, 2010

Practice Location

Address: 4411 ALBY ST
City: Alton
State: Illinois
ZIP Code: 62002-5916
Phone: (618) 474-8052

Authorized Official

Name: DR. BRUCE T VEST, M.D.
Title: PRESIDENT
Phone: (618) 474-8052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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