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101 N Elm St Suite E Pierce City MO 65723-1218 | |
(417) 476-7201 | |
(417) 476-7203 |
Full Name | |
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Speciality | General Practice |
Location | 101 N Elm St, Pierce City, Missouri |
Authorized Official Name and Position | Melvin Dee Hodde (PROVIDER) |
Authorized Official Contact | 4174767201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 N Elm St Suite E Pierce City MO 65723-1218 Ph: (417) 476-7201 | 101 N Elm St Suite E Pierce City MO 65723-1218 Ph: (417) 476-7201 |
NPI Number | 1598102741 |
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Provider Enumeration Date | 05/29/2013 |
Last Update Date | 05/29/2013 |
Identifier | Type | State | Issuer |
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1598102741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | DO R5P19 (Missouri) | Primary |