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75 Smithson Dr Ste B Cassville MO 65625-9429 | |
(417) 847-3500 | |
(417) 847-3523 |
Full Name | |
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Speciality | Family Medicine |
Location | 75 Smithson Dr Ste B, Cassville, Missouri |
Authorized Official Name and Position | David P Taylor (VP REGIONAL SERVICES) |
Authorized Official Contact | 4172696262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 4046 Springfield MO 65808-4046 Ph: (417) 269-6262 | 75 Smithson Dr Ste B Cassville MO 65625-9429 Ph: (417) 847-3500 |
NPI Number | 1528125861 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 07/14/2008 |
Identifier | Type | State | Issuer |
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1528125861 | NPI | - | NPPES |
506856400 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Barry County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Main St, Cassville, MO 65625 Phone: 417-847-2114 Fax: 417-847-2116 |