John Gregg Fozard, M.D. Valid NPI

Individual provider · Family Medicine Physician · Pinckneyville, IL

NPI

1689646127

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

036053225 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-07

Last updated

2023-07-10