| Hyatt Medical Group Llc | |
|
1854 Broadway St Cape Girardeau MO 63701-4553 | |
| (573) 381-5050 | |
| Not Available |
| Full Name | Hyatt Medical Group Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1854 Broadway St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Andrew Hyatt (OWNER) |
| Authorized Official Contact | 5733815050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyatt Medical Group Llc 1854 Broadway St Cape Girardeau MO 63701-4553 Ph: (573) 381-5050 | Hyatt Medical Group Llc 1854 Broadway St Cape Girardeau MO 63701-4553 Ph: (573) 381-5050 |
| NPI Number | 1457170458 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457170458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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