| Crown Family Practice Pc | |
|
1113 Independence Dr West Plains MO 65775 | |
| (417) 256-8889 | |
| (417) 256-1649 |
| Full Name | Crown Family Practice Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1113 Independence Dr, West Plains, Missouri |
| Authorized Official Name and Position | Stanley Joel Crown (PRESIDENT) |
| Authorized Official Contact | 4172568889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Family Practice Pc 1113 Independence Dr West Plains MO 65775 Ph: (417) 256-8889 | Crown Family Practice Pc 1113 Independence Dr West Plains MO 65775 Ph: (417) 256-8889 |
| NPI Number | 1699869818 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699869818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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