person
David C Autry, MD
Diagnostic Radiology Physician in Maryville, Illinois
NPI 1629026877

David C Autry is a Diagnostic Radiology Physician based in St Louis, IL and is specialized in Diagnostic Radiology. David C Autry practices in Maryville, IL and has the professional credentials of MD. The NPI Number for David C Autry is 1629026877 and holds a License No. (Illinois).

The current practice location address for David C Autry is 6800 State Route 162, Maryville, IL and can be reached out via phone at 618-288-5711.

Location: 6800 State Route 162, Maryville, IL, 63179-0051
person
Provider Profile Details
NPI Number
1629026877
Provider Name
David C Autry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6800 State Route 162, Maryville, IL, 63179-0051
Phone Number
618-288-5711
Fax Number
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0361050831 05 IL
507530 01 HEALTHLINK
103178C 01 MO BLUE
99693 01 GHP
1609119 01 UHC
institution
Provider Business Practice Location Address Details
Address
6800 State Route 162
City
State
Zip
62062-1000
Phone Number
618-288-5711
Fax Number
person
Provider Business Mailing Address Details
Address
6800 State Route 162
City
State
Zip
62062-1000
Phone Number
618-288-5711
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
(Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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