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3300 E 10th St Trenton MO 64683-9579 | |
(660) 359-3939 | |
(660) 359-4372 |
Full Name | |
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Speciality | Family Medicine |
Location | 3300 E 10th St, Trenton, Missouri |
Authorized Official Name and Position | Jennifer A. Bowe (PRESIDENT) |
Authorized Official Contact | 6603593939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3300 E 10th St Trenton MO 64683-9579 Ph: (660) 359-3939 | 3300 E 10th St Trenton MO 64683-9579 Ph: (660) 359-3939 |
NPI Number | 1083650402 |
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Provider Enumeration Date | 06/22/2006 |
Last Update Date | 08/20/2008 |
Identifier | Type | State | Issuer |
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1083650402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | 2002014049 (Missouri) | Secondary |