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1605 Martin Springs Dr Suite 260 Rolla MO 65401-2931 | |
| (573) 458-6358 | |
| (573) 458-6464 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1605 Martin Springs Dr, Rolla, Missouri |
| Authorized Official Name and Position | Stuart Stangeland (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4178206556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 505164 Saint Louis MO 63150-5164 Ph: (417) 820-2000 | 1605 Martin Springs Dr Suite 260 Rolla MO 65401-2931 Ph: (573) 458-6358 |
| NPI Number | 1457363806 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 04/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457363806 | NPI | - | NPPES |
| 590094504 | Medicaid | MO |
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Goodman Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 State Route Cc, Rolla, MO 65401 Phone: 573-308-5044 Fax: 573-341-5300 | |
Phelps County Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Choudhrymd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 W 6th St, Rolla, MO 65401 Phone: 573-202-3969 Fax: 573-341-8581 |