| Riverside Family Practice, Pc | |
|
3129 Blattner Dr Cape Girardeau MO 63703-6364 | |
| (573) 335-0166 | |
| (573) 335-7942 |
| Full Name | Riverside Family Practice, Pc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 3129 Blattner Dr, Cape Girardeau, Missouri |
| Authorized Official Name and Position | James E Palen (OWNER) |
| Authorized Official Contact | 5733350166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Family Practice, Pc 3129 Blattner Dr Cape Girardeau MO 63703-6364 Ph: (573) 335-0166 | Riverside Family Practice, Pc 3129 Blattner Dr Cape Girardeau MO 63703-6364 Ph: (573) 335-0166 |
| NPI Number | 1245286210 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245286210 | NPI | - | NPPES |
| 132330 | Other | MO | BLUE CROSS BLUE SHIELD |
| CI5917 | Other | MO | RAILROAD GROUP NUMBER |
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