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101 South Prairie Street Bloomfield MO 63825 | |
(573) 568-3838 | |
(573) 568-4212 |
Full Name | |
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Speciality | Family Medicine |
Location | 101 South Prairie Street, Bloomfield, Missouri |
Authorized Official Name and Position | James P Wright (SR. DIRECTOR) |
Authorized Official Contact | 6154657587 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | 101 South Prairie Street Bloomfield MO 63825 Ph: (573) 568-3838 |
NPI Number | 1023424041 |
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Provider Enumeration Date | 07/10/2014 |
Last Update Date | 07/29/2014 |
Identifier | Type | State | Issuer |
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1023424041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |