| |
600 Blues Lake Pkwy Rolla MO 65401-8022 | |
(573) 364-8822 | |
(573) 341-5969 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 600 Blues Lake Pkwy, Rolla, Missouri |
Authorized Official Name and Position | Richard Krenning (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 5733648822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
600 Blues Lake Pkwy Rolla MO 65401-8022 Ph: (573) 364-8822 | 600 Blues Lake Pkwy Rolla MO 65401-8022 Ph: (573) 364-8822 |
NPI Number | 1376560383 |
---|---|
Provider Enumeration Date | 07/16/2006 |
Last Update Date | 07/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376560383 | NPI | - | NPPES |
503052706 | Medicaid | MO | |
DA5531 | Other | GA | RAIL ROAD MEDICARE |
Health Optimization Treatment, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 W 11th St, Rolla, MO 65401 Phone: 314-279-4565 Fax: 309-326-4526 | |
Goodman Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 State Route Cc, Rolla, MO 65401 Phone: 573-308-5044 Fax: 573-341-5300 | |
Phelps County Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Choudhrymd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 W 6th St, Rolla, MO 65401 Phone: 573-202-3969 Fax: 573-341-8581 |