JAMES R DEBORD NPI 1699783886

NPI Information

JAMES R DEBORD is a vascular surgery surgery in Peoria, IL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. JAMES R DEBORD NPI is 1699783886. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Vascular Laboratory Services.

The provider's business location address is:

5409 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614-016
Phone: (877) 852-4669

The provider's authorized official is James Debord .
The authorized official title is President and has the following contact phone number (877) 852-4669.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 6/1/2011.

Taxonomy Codes

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Other Identifiers

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