Organization · Type 2 NPI

O Fallon Medical Ventures LLC

General Practice Physician · O Fallon, IL

NPI number 1891317517 Active

Practice location

124 Regency Park Ste 7
O Fallon, IL 62269-1994

Mailing address

2250 E Germann Rd Ste 8
Chandler, AZ 85286-1575

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XNone listed
General Practice Physician Primary 208D00000XNone listed
Physical Therapist 225100000XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

5 other providers at this address

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About NPI 1891317517

O Fallon Medical Ventures LLC's National Provider Identifier is 1891317517, issued on May 15, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in O Fallon, IL. The record was last updated on May 15, 2020.