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714 Medical Park Dr Mexico MO 65265-3726 | |
(573) 581-7196 | |
(573) 581-3632 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 714 Medical Park Dr, Mexico, Missouri |
Authorized Official Name and Position | Roger Dix (VP FINANCE) |
Authorized Official Contact | 5734061609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1239 Hannibal MO 63401-1239 Ph: (573) 406-5888 | 714 Medical Park Dr Mexico MO 65265-3726 Ph: (573) 581-7196 |
NPI Number | 1922356765 |
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Provider Enumeration Date | 08/28/2012 |
Last Update Date | 08/28/2012 |
Identifier | Type | State | Issuer |
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1922356765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Center For Digestive & Liver Diseases, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-7196 Fax: 573-581-3632 | |
Ziva Medical Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 E Promenade St Ste 1, Mexico, MO 65265 Phone: 573-570-3520 | |
Cornerstone Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 E Promenade St, Mexico, MO 65265 Phone: 573-200-6078 Fax: 833-817-7109 | |