| Mosaic Specialty Care - East | |
|
114 E South Hills Dr Maryville MO 64468-2659 | |
| (660) 562-2525 | |
| (660) 562-4303 |
| Full Name | Mosaic Specialty Care - East |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 E South Hills Dr, Maryville, Missouri |
| Authorized Official Name and Position | Dwight R Carvell (DIRECTOR OF REIMBUREMENT) |
| Authorized Official Contact | 8162730473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Specialty Care - East 114 E South Hills Dr Maryville MO 64468-2659 Ph: (660) 562-2525 | Mosaic Specialty Care - East 114 E South Hills Dr Maryville MO 64468-2659 Ph: (660) 562-2525 |
| NPI Number | 1598239790 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 06/10/2019 |
| Medicare PECOS PAC ID | 3678813896 |
|---|---|
| Medicare Enrollment ID | O20190402000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598239790 | NPI | - | NPPES |
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