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2303 S Highway 65 Ste A Marshall MO 65340-3735 | |
(660) 886-3364 | |
(660) 886-6044 |
Full Name | |
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Speciality | Family Medicine |
Location | 2303 S Highway 65 Ste A, Marshall, Missouri |
Authorized Official Name and Position | Jeffrey Lee Patrick (PRESIDENT) |
Authorized Official Contact | 5736355264 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 104240 Jefferson City MO 65110-4240 Ph: (573) 635-5264 | 2303 S Highway 65 Ste A Marshall MO 65340-3735 Ph: (660) 886-3364 |
NPI Number | 1235533498 |
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Provider Enumeration Date | 10/17/2014 |
Last Update Date | 12/26/2018 |
Identifier | Type | State | Issuer |
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1235533498 | NPI | - | NPPES |
1235533498 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Mid-missouri Family Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 S. Jefferson, Marshall, MO 65340 Phone: 660-831-1175 | |
Marshall Mo Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 754 S Odell Ave, Marshall, MO 65340 Phone: 660-886-7134 Fax: 660-886-7135 | |
D. J. Fahnestock, D. C., P. C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 269 S Jefferson Ave, Marshall, MO 65340 Phone: 660-886-6903 Fax: 660-886-6904 | |
Ulbrich Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2301 S Highway 65, Suite 2, Marshall, MO 65340 Phone: 660-631-3386 |