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104 Sarah Ann Boulevard Troy MO 63379-0185 | |
(636) 528-5281 | |
(636) 462-2637 |
Full Name | |
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Speciality | Family Medicine |
Location | 104 Sarah Ann Boulevard, Troy, Missouri |
Authorized Official Name and Position | Linda M Sumner (OFFICE MANAGER) |
Authorized Official Contact | 6365285281 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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104 Sarah Ann Boulevard Troy MO 63379-0185 Ph: (636) 528-5281 | 104 Sarah Ann Boulevard Troy MO 63379-0185 Ph: (636) 528-5281 |
NPI Number | 1588841944 |
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Provider Enumeration Date | 01/29/2008 |
Last Update Date | 01/29/2008 |
Identifier | Type | State | Issuer |
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1588841944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lewis Meyerson, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Sarah Ann Blvd, Troy, MO 63379 Phone: 636-528-5281 Fax: 636-462-2637 | |