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412 Ward Ave Caruthersville MO 63830-1451 | |
(573) 333-0033 | |
(573) 333-2522 |
Full Name | |
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Speciality | Family Medicine |
Location | 412 Ward Ave, Caruthersville, Missouri |
Authorized Official Name and Position | Douglas S Fitzwater (MD OWNER) |
Authorized Official Contact | 5733330033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 817 Cape Girardeau MO 63702-0817 Ph: (573) 335-4715 | 412 Ward Ave Caruthersville MO 63830-1451 Ph: (573) 333-0033 |
NPI Number | 1467442566 |
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Provider Enumeration Date | 10/28/2005 |
Last Update Date | 02/12/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467442566 | NPI | - | NPPES |
7158 | Other | MO | BCBS |
596113605 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Caruthersville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 579-333-0033 Fax: 573-333-2522 | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W 15th St, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522 | |
Grace Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Ward Ave, Caruthersville, MO 63830 Phone: 573-922-5111 Fax: 573-922-5126 |