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Contact Information

JULETTA AVAGYAN, MD
1 MEMORIAL DR
ALTON, IL62002
 Phone: 618-463-7240
 Fax: 618-463-7216
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JULETTA AVAGYAN · (Female)

NPI Number 1013278944
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2012
Last updated 09/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-144670
  • MO License # 2015026284
  • VA Other 207QOOOOOX FAMILY MEDICINE
Hospital affiliation(s)
  • ALTON MEMORIAL HOSPITAL - (Acute Care)
    ONE MEMORIAL DRIVE
    ALTON, IL 62002
  • JERSEY COMMUNITY HOSPITAL - (Acute Care)
    400 MAPLE SUMMIT ROAD
    JERSEYVILLE, IL 62052
  • PARKLAND HEALTH CENTER - (Acute Care)
    1101 W LIBERTY
    FARMINGTON, MO 63640
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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