225200000X
Herrin, IL
Specialty
225200000X
Credential
PTA
NPI
1679119572
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 225200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225200000X