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NPI Provider: 1205831971
Contact Name: Meeks Wrophas
Position: President/Provider
Phone: (618) 998-9633
Logan Park Imaging Llc Information:
Logan Park Imaging Llc organization have npi 1205831971, taxonomy code is 2085R0202X with license number is K7934 in . This Business address located in 500 Lincoln Dr, Herrin, IL 62948 Illinois. Get directions of Logan Park Imaging Llc.
Practice Location
Address: 500 Lincoln Dr, Herrin, IL 62948
Phone: (618) 998-9633
Business Location
Address: 500 Lincoln Dr, Herrin, IL 62948
Phone: (618) 998-9633
Fax: (618) 998-9623
Taxonomy
Taxonomy Code: 2085R0202X
License Number: K7934
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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