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545 Branson Landing Blvd Suite 408 Branson MO 65616 | |
(417) 335-7022 | |
(417) 334-6459 |
Full Name | |
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Speciality | Family Medicine |
Location | 545 Branson Landing Blvd, Branson, Missouri |
Authorized Official Name and Position | William K Mahoney (CEO) |
Authorized Official Contact | 4173357000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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545 Branson Landing Blvd Suite 408 Branson MO 65616 Ph: (417) 335-7022 | 545 Branson Landing Blvd Suite 408 Branson MO 65616 Ph: (417) 335-7022 |
NPI Number | 1790801710 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 01/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790801710 | NPI | - | NPPES |
1790801710 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R5604 (Missouri) | Primary |
Drs Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N 3rd St, Branson, MO 65616 Phone: 417-334-3655 Fax: 417-334-3614 | |