| Beyer Medical Group | |
|
735 W Main St Fredericktown MO 63645-1113 | |
| (573) 747-9703 | |
| (573) 783-8890 |
| Full Name | Beyer Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 735 W Main St, Fredericktown, Missouri |
| Authorized Official Name and Position | Fernando Borrego (ADMINISTRATOR) |
| Authorized Official Contact | 5737838875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyer Medical Group 735 W Main St Fredericktown MO 63645-1113 Ph: (573) 747-9703 | Beyer Medical Group 735 W Main St Fredericktown MO 63645-1113 Ph: (573) 747-9703 |
| NPI Number | 1134695703 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134695703 | NPI | - | NPPES |
| 500948203 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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