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202 N Commercial St Seymour MO 65746-8858 | |
(417) 269-4268 | |
(417) 269-3104 |
Full Name | |
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Speciality | Family Medicine |
Location | 202 N Commercial St, Seymour, Missouri |
Authorized Official Name and Position | David P Taylor (VICE PRESIDENT) |
Authorized Official Contact | 4172694320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3800 S National Ave Ste 540 Springfield MO 65807-5209 Ph: (417) 269-5712 | 202 N Commercial St Seymour MO 65746-8858 Ph: (417) 269-4268 |
NPI Number | 1972778884 |
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Provider Enumeration Date | 04/23/2008 |
Last Update Date | 11/06/2012 |
Identifier | Type | State | Issuer |
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1972778884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |