Mid-missouri Family Health, Llc | |
78 S. Jefferson Marshall MO 65340 | |
(660) 831-1175 | |
Not Available |
Full Name | Mid-missouri Family Health, Llc |
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Speciality | Family Medicine |
Location | 78 S. Jefferson, Marshall, Missouri |
Authorized Official Name and Position | David J. Keuhn (OWNER) |
Authorized Official Contact | 6608313204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mid-missouri Family Health, Llc 78 S. Jefferson Marshall MO 65340 Ph: () - | Mid-missouri Family Health, Llc 78 S. Jefferson Marshall MO 65340 Ph: (660) 831-1175 |
NPI Number | 1104011295 |
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Provider Enumeration Date | 09/11/2007 |
Last Update Date | 03/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104011295 | NPI | - | NPPES |
504608506 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200130389 (Missouri) | Primary |
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