Good Shepherd Family Clinic | |
112 Business Park Dr Branson MO 65616-7426 | |
(417) 335-5022 | |
(417) 335-5044 |
Full Name | Good Shepherd Family Clinic |
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Speciality | Family Medicine |
Location | 112 Business Park Dr, Branson, Missouri |
Authorized Official Name and Position | Stephanie Sue Olson (OFFICE MANAGER) |
Authorized Official Contact | 4173355022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Good Shepherd Family Clinic 112 Business Park Dr Branson MO 65616-7426 Ph: (417) 335-5022 | Good Shepherd Family Clinic 112 Business Park Dr Branson MO 65616-7426 Ph: (417) 335-5022 |
NPI Number | 1396079711 |
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Provider Enumeration Date | 10/01/2009 |
Last Update Date | 10/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396079711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2007021133 (Missouri) | Primary |
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