Malcolm J. Dickerson, M.d., P.c. | |
411 W 4th St Eldon MO 65026-1919 | |
(573) 392-9200 | |
(573) 392-4626 |
Full Name | Malcolm J. Dickerson, M.d., P.c. |
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Speciality | Family Medicine |
Location | 411 W 4th St, Eldon, Missouri |
Authorized Official Name and Position | Vicki Jo Routon (PRACTICE MANAGER) |
Authorized Official Contact | 5733929200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Malcolm J. Dickerson, M.d., P.c. 411 W 4th St Eldon MO 65026-1919 Ph: (573) 392-9200 | Malcolm J. Dickerson, M.d., P.c. 411 W 4th St Eldon MO 65026-1919 Ph: (573) 392-9200 |
NPI Number | 1033440342 |
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Provider Enumeration Date | 01/26/2010 |
Last Update Date | 01/26/2010 |
Identifier | Type | State | Issuer |
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1033440342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R5N38 (Missouri) | Primary |
Eldon Family Chiropractic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 N Business Highway 54 E Ste D, Eldon, MO 65026 Phone: 573-286-2638 | |