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Richard Earl Minter, DO
Family Medicine Physician in Macomb, Illinois
NPI 1518036979

Richard Earl Minter is a Family Medicine Physician based in Macomb, IL. Richard Earl Minter practices in Macomb, IL and has the professional credentials of DO. The NPI Number for Richard Earl Minter is 1518036979 and holds a License No. R4F20 (Illinois).

The current practice location address for Richard Earl Minter is 505 E Grant St Ste 202, Macomb, IL and can be reached out via phone at 309-833-1729. You can also correspond with Richard Earl Minter through the mailing address at 505 E GRANT ST STE 202, MACOMB, IL - 61455-3373 (mailing address contact number: 309-833-1729).

Location: 505 E Grant St Ste 202, Macomb, IL, 61455-3373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518036979
Provider Name
Richard Earl Minter
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
505 E Grant St Ste 202, Macomb, IL, 61455-3373
Phone Number
309-833-1729
Fax Number
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036.139552 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
505 E Grant St Ste 202
City
Macomb
State
Illinois
Zip
61455-3373
Phone Number
309-833-1729
Fax Number
person
Provider Business Mailing Address Details
Address
505 E Grant St Ste 202
City
Macomb
State
Illinois
Zip
61455-3373
Phone Number
309-833-1729
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
R4F20 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
R4F20 (Missouri)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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