| Dexter Internal Medicine | |
|
1300 N One Mile Rd Suite 1 Dexter MO 63841 | |
| (573) 624-7788 | |
| Not Available |
| Full Name | Dexter Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 N One Mile Rd, Dexter, Missouri |
| Authorized Official Name and Position | Sue Ann Williams (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 5736241640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dexter Internal Medicine Po Box 368 Dexter MO 63841 Ph: (573) 624-3165 | Dexter Internal Medicine 1300 N One Mile Rd Suite 1 Dexter MO 63841 Ph: (573) 624-7788 |
| NPI Number | 1477613370 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477613370 | NPI | - | NPPES |
| DC5219 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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