| |
2461 State Highway 165 Suite E Branson MO 65616-8690 | |
(417) 348-8964 | |
(417) 336-0275 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 2461 State Highway 165, Branson, Missouri |
Authorized Official Name and Position | Peter R Marcellus (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 4173357217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2461 State Highway 165 Suite E Branson MO 65616-8690 Ph: (417) 348-8964 | 2461 State Highway 165 Suite E Branson MO 65616-8690 Ph: (417) 348-8964 |
NPI Number | 1013241363 |
---|---|
Provider Enumeration Date | 09/18/2009 |
Last Update Date | 09/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013241363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2000160620 (Missouri) | Primary |
Drs Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N 3rd St, Branson, MO 65616 Phone: 417-334-3655 Fax: 417-334-3614 | |