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18598 Business 13 Branson West MO 65737 | |
(417) 272-8497 | |
(417) 272-8496 |
Full Name | |
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Speciality | Clinic/Center |
Location | 18598 Business 13, Branson West, Missouri |
Authorized Official Name and Position | Robert Cavagnol (CHIEF PHYSICIAN OFFICER) |
Authorized Official Contact | 4178202705 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 Ph: (417) 820-7133 | 18598 Business 13 Branson West MO 65737 Ph: (417) 272-8497 |
NPI Number | 1952437675 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 12/04/2018 |
Medicare PECOS PAC ID | 7416865845 |
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Medicare Enrollment ID | O20090602000035 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952437675 | NPI | - | NPPES |
595778606 | Medicaid | MO |
Lakeland Clinical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18565 Business 13, Branson West, MO 65737 Phone: 417-272-8064 Fax: 417-272-0073 | |
White Oak Medical, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11016 State Highway 76, Claybough Plaza, Ste 6, Branson West, MO 65737 Phone: 417-272-0505 Fax: 417-272-3020 | |