| Cross Trails Medical Center | |
|
1314 Brenda Ave Perryville MO 63775-2624 | |
| (573) 332-0808 | |
| (573) 339-7945 |
| Full Name | Cross Trails Medical Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1314 Brenda Ave, Perryville, Missouri |
| Authorized Official Name and Position | Mona Wells (CFO) |
| Authorized Official Contact | 5733391196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Trails Medical Center 1314 Brenda Ave Perryville MO 63775-2624 Ph: () - | Cross Trails Medical Center 1314 Brenda Ave Perryville MO 63775-2624 Ph: (573) 332-0808 |
| NPI Number | 1972925444 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 01/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972925444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mattingly Boxdorfer Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 S West St, Perryville, MO 63775 Phone: 573-547-6691 Fax: 573-547-6696 | |
Joe David Hutchison, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 S West St, Perryville, MO 63775 Phone: 573-547-6691 Fax: 573-547-6691 | |
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Mattingly Boxdorfer Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 S West St, Perryville, MO 63775 Phone: 573-547-6691 Fax: 573-547-6696 | |
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