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800 University Drive Maryville MO 64468 | |
(660) 562-1313 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 800 University Drive, Maryville, Missouri |
Authorized Official Name and Position | Matthew Cannella (HEAD ATHLETIC TRAINER) |
Authorized Official Contact | 6605621313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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800 University Drive Maryville MO 64468 Ph: (660) 562-1313 | 800 University Drive Maryville MO 64468 Ph: (660) 562-1313 |
NPI Number | 1225310204 |
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Provider Enumeration Date | 09/15/2011 |
Last Update Date | 02/21/2022 |
Identifier | Type | State | Issuer |
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1225310204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
Continuum Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2336 S Main St, Maryville, MO 64468 Phone: 660-220-2123 | |