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1177 E Cherry St Troy MO 63379-1520 | |
(636) 528-1919 | |
(636) 528-1916 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1177 E Cherry St, Troy, Missouri |
Authorized Official Name and Position | Mark Thorn (CFO) |
Authorized Official Contact | 6365283329 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1177 E Cherry St Troy MO 63379-1520 Ph: (636) 528-1919 | 1177 E Cherry St Troy MO 63379-1520 Ph: (636) 528-1919 |
NPI Number | 1407260961 |
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Provider Enumeration Date | 06/12/2014 |
Last Update Date | 06/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407260961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Lewis Meyerson, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Sarah Ann Blvd, Troy, MO 63379 Phone: 636-528-5281 Fax: 636-462-2637 | |