institution
James R Debord
Vascular Surgery Physician in Peoria, Illinois
NPI 1699783886

James R Debord is a Vascular Surgery Physician based in Peoria, IL and is specialized in Vascular Surgery. James R Debord practices in Peoria, IL. The NPI Number for James R Debord is 1699783886 and holds a License No. (Illinois).

The current practice location address for James R Debord is 5409 N Knoxville Ave, Peoria, IL and can be reached out via phone at 877-852-4669. You can also correspond with James R Debord through the mailing address at PO BOX 10140, PEORIA, IL - 61612-0140 (mailing address contact number: 877-852-4669).

Location: 5409 N Knoxville Ave, Peoria, IL, 61612-0140
institution
Provider Profile Details
NPI Number
1699783886
Provider Name
James R Debord
Credential
Provider Entity Type
Organization
Address
5409 N Knoxville Ave, Peoria, IL, 61612-0140
Phone Number
877-852-4669
Fax Number
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330001311 01 IL RAILROAD MEDICARE
07200604 01 IL BLUE CROSS BLUE SHIELD
0360520633 05 IL
institution
Provider Business Practice Location Address Details
Address
5409 N Knoxville Ave
City
State
Zip
61614-5016
Phone Number
877-852-4669
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 10140
City
State
Zip
61612-0140
Phone Number
877-852-4669
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
()
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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