Geriatric and Primary Care Services S C
Geriatric and Primary Care Services S C is a Geriatric Medicine (Internal Medicine) Physician in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1606 Castleberry DrMarion, IL 62959-1586
Phone: (618) 997-9519
Fax: (618) 993-0592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X · Licence 036111926 (IL) |
|---|
Record details
| NPI number | 1174535900 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gladstone Tucker — Owner · (618) 542-6152 |
| NPI enumerated | August 12, 2006 |
| Last updated in NPPES | July 25, 2012 |
| Mailing address | Po Box 752, Concordia, MO 64020-0752 |
Other providers in Marion
-
Dr. Mark Kiplagat Rotich, MD
1401 Danielle Ct, Marion, IL 62959-1545 · (618) 751-7373