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2nd Street And Oak Stover MO 65078 | |
(573) 377-2313 | |
(573) 377-4243 |
Full Name | |
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Speciality | Family Medicine |
Location | 2nd Street And Oak, Stover, Missouri |
Authorized Official Name and Position | James R Mcmillan (VP FINANCE) |
Authorized Official Contact | 5736325100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 489 Stover MO 65078 Ph: (573) 377-2313 | 2nd Street And Oak Stover MO 65078 Ph: (573) 377-2313 |
NPI Number | 1215906433 |
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Provider Enumeration Date | 03/17/2006 |
Last Update Date | 12/12/2007 |
Identifier | Type | State | Issuer |
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1215906433 | NPI | - | NPPES |
007100 | Other | MO | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |