Full Name | |
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Speciality | Clinic/center |
Location | 705 Oak St, Lathrop, Missouri |
Authorized Official Name and Position | Joseph F Abrutz (CEO) |
Authorized Official Contact | 8166322101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1600 E Evergreen St Po Box 557 Cameron MO 64429-2400 Ph: (816) 649-3348 | 705 Oak St Lathrop MO 64465 Ph: (816) 740-3282 |
NPI Number | 1720092034 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 04/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720092034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |