| Dillon Plaza Family Medicine Group Lc | |
|
1 Dillon Plaza Dr High Ridge MO 63049-2478 | |
| (636) 677-3012 | |
| Not Available |
| Full Name | Dillon Plaza Family Medicine Group Lc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Dillon Plaza Dr, High Ridge, Missouri |
| Authorized Official Name and Position | Marylynne Pope (OWNER) |
| Authorized Official Contact | 6366773174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dillon Plaza Family Medicine Group Lc 1 Dillon Plaza Dr High Ridge MO 63049-2478 Ph: (636) 677-3012 | Dillon Plaza Family Medicine Group Lc 1 Dillon Plaza Dr High Ridge MO 63049-2478 Ph: (636) 677-3012 |
| NPI Number | 1194055434 |
|---|---|
| Provider Enumeration Date | 01/09/2010 |
| Last Update Date | 02/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194055434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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