163WX0800X
Herrin, IL
Specialty
163WX0800X
Credential
RN
NPI
1720252489
510 Lincoln Dr., Herrin, IL 62948
(618) 997-6800Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 163wx0800x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 163WX0800X