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151 Johnstown Dr Rogersville MO 65742-9366 | |
(417) 269-2252 | |
(417) 269-2259 |
Full Name | |
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Speciality | Family Medicine |
Location | 151 Johnstown Dr, Rogersville, Missouri |
Authorized Official Name and Position | David P. Taylor (VICE PRESIDENT) |
Authorized Official Contact | 4172696262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3800 S National Ave #540 Springfield MO 65807-5209 Ph: (417) 269-6262 | 151 Johnstown Dr Rogersville MO 65742-9366 Ph: (417) 269-2252 |
NPI Number | 1528003746 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 08/03/2009 |
Identifier | Type | State | Issuer |
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1528003746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |