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166 Forest Pkwy Valley Park MO 63088-1075 | |
(580) 257-0669 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 166 Forest Pkwy, Valley Park, Missouri |
Authorized Official Name and Position | Michael James Thompson (FOUNDER) |
Authorized Official Contact | 5802570669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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166 Forest Pkwy Valley Park MO 63088-1075 Ph: (580) 257-0669 | 166 Forest Pkwy Valley Park MO 63088-1075 Ph: (580) 257-0669 |
NPI Number | 1427712009 |
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Provider Enumeration Date | 10/28/2021 |
Last Update Date | 03/31/2022 |
Identifier | Type | State | Issuer |
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1427712009 | NPI | - | NPPES |