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75 Smithson Dr Ste B Cassville MO 65625-9429 | |
(417) 269-5712 | |
(417) 269-7567 |
Full Name | |
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Speciality | Family Medicine |
Location | 75 Smithson Dr Ste B, Cassville, Missouri |
Authorized Official Name and Position | Max Buetow (VICE PRESIDENT) |
Authorized Official Contact | 4176310381 |
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) 269-5712 | 75 Smithson Dr Ste B Cassville MO 65625-9429 Ph: (417) 269-5712 |
NPI Number | 1346748787 |
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Provider Enumeration Date | 01/31/2018 |
Last Update Date | 01/31/2018 |
Identifier | Type | State | Issuer |
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1346748787 | NPI | - | NPPES |
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 |