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101 Giesler Drive Osceola MO 64776-6297 | |
(417) 646-8123 | |
(417) 646-8911 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 101 Giesler Drive, Osceola, Missouri |
Authorized Official Name and Position | Wayne Louis Morton (OWNER) |
Authorized Official Contact | 4176468123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 Giesler Drive Osceola MO 64776-6297 Ph: (417) 646-8123 | 101 Giesler Drive Osceola MO 64776-6297 Ph: (417) 646-8123 |
NPI Number | 1689973620 |
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Provider Enumeration Date | 03/16/2011 |
Last Update Date | 07/27/2012 |
Identifier | Type | State | Issuer |
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1689973620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |