| Cross Trails Medical Center | |
|
408 S Broadview St Cape Girardeau MO 63703-5725 | |
| (573) 332-0808 | |
| (573) 339-7945 |
| Full Name | Cross Trails Medical Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 408 S Broadview St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Vicki A Smith (CEO) |
| Authorized Official Contact | 5733391196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Trails Medical Center 408 S Broadview St Cape Girardeau MO 63703-5725 Ph: (573) 332-0808 | Cross Trails Medical Center 408 S Broadview St Cape Girardeau MO 63703-5725 Ph: (573) 332-0808 |
| NPI Number | 1811051642 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811051642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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