Brian G. Mcelheny, M.D. Ltd
Family Medicine in Carbondale, IL. Organization (NPI-2).
NPI number1922203249
StatusActive
Last updated in NPPESJul 16, 2013
Details
- NPI
- 1922203249
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian G. Mcelheny, M.D. Ltd
- Organization subpart
- No
- Enumeration date
- Jun 18, 2007
- Last updated
- Jul 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036058838 | IL | Yes |
Practice location
207 W Jackson StSuite # 101
Carbondale, IL 62901-1408
Phone 618-457-6796 · Fax 618-549-9799
Mailing address
207 W Jackson StSuite # 101
Carbondale, IL 62901-1408
Phone 618-457-6796 · Fax 618-549-9799
Authorized official
Brian George Mcelheny, M.D. Ltd
Physician
6184576787
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