Physical Medicine Clinic of Granite City Ltd
NPI #1992039747 in Granite City, Illinois
Provider Information
- NPI Number
- 1992039747
- Entity Type
- Organization
- Organization Name
- Physical Medicine Clinic of Granite City Ltd
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Sep 28, 2009
- Last Updated
- Oct 15, 2013
Practice Location
- Address
- 2861 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-3614
- Phone
- (618) 877-4000
Authorized Official
- Name
- DR. BRIDGET BRASFIELD, D.C.
- Title
- OWNER/CHIROPRACTOR
- Phone
- (618) 877-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Nurse Practitioner - Adult Health — Adult Health |
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