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809 Medical Park Dr Suite 101 Mexico MO 65265-3753 | |
(573) 581-8590 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 809 Medical Park Dr, Mexico, Missouri |
Authorized Official Name and Position | David Neuendorf (CEO) |
Authorized Official Contact | 5735828103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 478 Mexico MO 65265-0010 Ph: (573) 581-8127 | 809 Medical Park Dr Suite 101 Mexico MO 65265-3753 Ph: (573) 581-8590 |
NPI Number | 1770773756 |
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Provider Enumeration Date | 07/26/2007 |
Last Update Date | 07/26/2007 |
Identifier | Type | State | Issuer |
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1770773756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Center For Digestive & Liver Diseases, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-7196 Fax: 573-581-3632 | |
Ziva Medical Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 E Promenade St Ste 1, Mexico, MO 65265 Phone: 573-570-3520 | |
Cornerstone Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 E Promenade St, Mexico, MO 65265 Phone: 573-200-6078 Fax: 833-817-7109 | |