| |
2136 William St Ste 115, Cape Girardeau, MO 63703-5830 | |
(573) 826-4033 | |
(573) 824-7075 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 2136 William St Ste 115, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467949040 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6200 | 2136 William St Ste 115, Cape Girardeau, MO 63703-5830 Ph: (573) 826-4033 |