Full Name | |
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Speciality | Family Medicine |
Location | 723 S. Main St., Lockwood, Missouri |
Authorized Official Name and Position | T J Allen (DIRECTOR OF CLINIC) |
Authorized Official Contact | 4172325200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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723 S. Main St. Lockwood MO 65682 Ph: (417) 232-5200 | 723 S. Main St. Lockwood MO 65682 Ph: (417) 232-5200 |
NPI Number | 1235466715 |
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Provider Enumeration Date | 11/04/2009 |
Last Update Date | 11/04/2009 |
Identifier | Type | State | Issuer |
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1235466715 | NPI | - | NPPES |