| Callaway Internal Medicine Group | |
|
2613 Fairway Dr Suite D Fulton MO 65251-3936 | |
| (573) 642-4242 | |
| (573) 592-0560 |
| Full Name | Callaway Internal Medicine Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2613 Fairway Dr, Fulton, Missouri |
| Authorized Official Name and Position | Frederick M. Wilson (PRESIDENT) |
| Authorized Official Contact | 5736424242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Callaway Internal Medicine Group 2613 Fairway Dr Suite D Fulton MO 65251-3936 Ph: (573) 642-4242 | Callaway Internal Medicine Group 2613 Fairway Dr Suite D Fulton MO 65251-3936 Ph: (573) 642-4242 |
| NPI Number | 1811182652 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811182652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 113229 (Missouri) | Primary |
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