Carter P Fenton Sr Clinics Inc | |
206 S Main St Chaffee MO 63740-1002 | |
(573) 887-3688 | |
(573) 887-9022 |
Full Name | Carter P Fenton Sr Clinics Inc |
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Speciality | Family Medicine |
Location | 206 S Main St, Chaffee, Missouri |
Authorized Official Name and Position | Carter P Fenton (PRESIDENT) |
Authorized Official Contact | 5738873688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carter P Fenton Sr Clinics Inc Po Box 98 Chaffee MO 63740-0098 Ph: (573) 887-3688 | Carter P Fenton Sr Clinics Inc 206 S Main St Chaffee MO 63740-1002 Ph: (573) 887-3688 |
NPI Number | 1750697322 |
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Provider Enumeration Date | 08/20/2010 |
Last Update Date | 04/03/2019 |
Identifier | Type | State | Issuer |
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1750697322 | NPI | - | NPPES |
240965905 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31606 (Missouri) | Primary |