Full Name | |
---|---|
Speciality | Family Medicine |
Location | 615 Main Street, Cabool, Missouri |
Authorized Official Name and Position | David P. Taylor (VICE PRESIDENT) |
Authorized Official Contact | 4172696262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3800 S National Ave Ste 540 Springfield MO 65807-5284 Ph: (417) 269-6262 | 615 Main Street Cabool MO 65689 Ph: (417) 962-3121 |
NPI Number | 1447390505 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447390505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Dys Dr, Cabool, MO 65689 Phone: 417-962-4344 | |