| Family Medicine Clinic | |
|
103 Church St O Fallon MO 63366-2894 | |
| (636) 240-1100 | |
| (636) 240-1104 |
| Full Name | Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Church St, O Fallon, Missouri |
| Authorized Official Name and Position | Robert J Oliver (DOCTOR OFFICE MANAGER) |
| Authorized Official Contact | 6362401100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Clinic 103 Church St O Fallon MO 63366-2894 Ph: (636) 240-1100 | Family Medicine Clinic 103 Church St O Fallon MO 63366-2894 Ph: (636) 240-1100 |
| NPI Number | 1093794927 |
|---|---|
| Provider Enumeration Date | 01/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093794927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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