Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 1 Kwan Plz, Potosi, Missouri |
Authorized Official Name and Position | Seth C Paskon (OWNER) |
Authorized Official Contact | 5734384322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 Kwan Plz Potosi MO 63664-1435 Ph: (573) 438-4322 | 1 Kwan Plz Potosi MO 63664-1435 Ph: (573) 438-4322 |
NPI Number | 1932377678 |
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Provider Enumeration Date | 02/15/2008 |
Last Update Date | 06/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932377678 | NPI | - | NPPES |
593788508 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MDR5003 (Missouri) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Dr. Gregory K. Terpstra D.o., Family Practice, L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 612 E High St Ste 210, Potosi, MO 63664 Phone: 573-438-3660 Fax: 573-438-1140 | |
Great Mines Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: #1 Southtowne Drive, Potosi, MO 63664 Phone: 573-438-9355 Fax: 573-438-7892 | |