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450 E Sigler Ave Suite A Memphis MO 63555-1726 | |
(660) 465-2828 | |
(660) 465-2820 |
Full Name | |
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Speciality | Family Medicine |
Location | 450 E Sigler Ave, Memphis, Missouri |
Authorized Official Name and Position | Marcia R Dial (CEO) |
Authorized Official Contact | 6604658511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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450 E Sigler Ave Suite A Memphis MO 63555-1726 Ph: (660) 465-2828 | 450 E Sigler Ave Suite A Memphis MO 63555-1726 Ph: (660) 465-2828 |
NPI Number | 1578761060 |
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Provider Enumeration Date | 07/05/2007 |
Last Update Date | 04/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578761060 | NPI | - | NPPES |
509750204 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Northeast Missouri Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 E Grand Ave, Memphis, MO 63555 Phone: 660-627-5757 |