Mmbwllc | |
7909 Highway N Dardenne MO 63366-7382 | |
(636) 625-1395 | |
Not Available |
Full Name | Mmbwllc |
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Speciality | Clinic/center |
Location | 7909 Highway N, Dardenne, Missouri |
Authorized Official Name and Position | Mecca T Mcdonald (MANAGER) |
Authorized Official Contact | 6366251395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mmbwllc 7909 Highway N Dardenne MO 63366-7382 Ph: (636) 625-1395 | Mmbwllc 7909 Highway N Dardenne MO 63366-7382 Ph: (636) 625-1395 |
NPI Number | 1710077250 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710077250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |