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203 E 3rd St Portageville MO 63873-1401 | |
(573) 379-2100 | |
(579) 379-2101 |
Full Name | |
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Speciality | Family Medicine |
Location | 203 E 3rd St, Portageville, Missouri |
Authorized Official Name and Position | Amelia D Ledbetter (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 5733354715 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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203 E 3rd St Portageville MO 63873-1401 Ph: (573) 379-2100 | 203 E 3rd St Portageville MO 63873-1401 Ph: (573) 379-2100 |
NPI Number | 1730622697 |
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Provider Enumeration Date | 11/28/2016 |
Last Update Date | 11/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730622697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
A Plus Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E 3rd St, Portageville, MO 63873 Phone: 573-379-2100 Fax: 573-379-2101 |