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101 N Elm St Ste E Pierce City MO 65723-1233 | |
(417) 476-9005 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 101 N Elm St Ste E, Pierce City, Missouri |
Authorized Official Name and Position | Shanna Denae Chapman (CO-OWNER) |
Authorized Official Contact | 4172092773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 N Elm St Ste E Pierce City MO 65723-1233 Ph: (417) 576-7389 | 101 N Elm St Ste E Pierce City MO 65723-1233 Ph: (417) 476-9005 |
NPI Number | 1083087332 |
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Provider Enumeration Date | 11/09/2015 |
Last Update Date | 12/14/2015 |
Identifier | Type | State | Issuer |
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1083087332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 1530832888 (Missouri) | Primary |