| Missouri Injury Clinics West, Llc | |
|
2163 W Terra Ln O Fallon MO 63366-2366 | |
| (636) 262-3086 | |
| Not Available |
| Full Name | Missouri Injury Clinics West, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2163 W Terra Ln, O Fallon, Missouri |
| Authorized Official Name and Position | Joseph L Hollingsworth (MANAGER) |
| Authorized Official Contact | 6362623086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Injury Clinics West, Llc 2163 W Terra Ln O Fallon MO 63366-2366 Ph: (636) 262-3086 | Missouri Injury Clinics West, Llc 2163 W Terra Ln O Fallon MO 63366-2366 Ph: (636) 262-3086 |
| NPI Number | 1962216119 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962216119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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