| Optimized Living Centers, Pc | |
|
1417 N Mount Auburn Rd Cape Girardeau MO 63701-2171 | |
| (573) 334-6053 | |
| (573) 334-7855 |
| Full Name | Optimized Living Centers, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1417 N Mount Auburn Rd, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Anthony J Keele (OWNER) |
| Authorized Official Contact | 5733346053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimized Living Centers, Pc 1417 N Mount Auburn Rd Cape Girardeau MO 63701-2171 Ph: (573) 334-6053 | Optimized Living Centers, Pc 1417 N Mount Auburn Rd Cape Girardeau MO 63701-2171 Ph: (573) 334-6053 |
| NPI Number | 1629369038 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629369038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2002008827 (Missouri) | Primary |
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