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815 N Lincoln Ave Ste G Monett MO 65708-1641 | |
(417) 354-1500 | |
(417) 354-1505 |
Full Name | |
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Speciality | Family Medicine |
Location | 815 N Lincoln Ave, Monett, Missouri |
Authorized Official Name and Position | David P. Taylor (VICE PRESIDENT) |
Authorized Official Contact | 4172694320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3800 S National Ave Ste 540 Springfield MO 65807-5209 Ph: (417) 269-5712 | 815 N Lincoln Ave Ste G Monett MO 65708-1641 Ph: (417) 354-1500 |
NPI Number | 1235304148 |
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Provider Enumeration Date | 04/23/2008 |
Last Update Date | 08/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235304148 | NPI | - | NPPES |
505876805 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cox- Monett Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E Hwy 60, Monett, MO 65708 Phone: 417-354-1580 Fax: 417-354-1585 | |
Melvin Hodde Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E Cleveland Ave, Monett, MO 65708 Phone: 417-476-7201 | |