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904 S 10th St Ste A Saint Joseph MO 64503-2400 | |
(816) 233-5188 | |
(816) 233-5296 |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 904 S 10th St Ste A, Saint Joseph, Missouri |
Authorized Official Name and Position | Latha Varghese (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8162335188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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904 S 10th St Ste A Saint Joseph MO 64503-2400 Ph: (816) 233-5188 | 904 S 10th St Ste A Saint Joseph MO 64503-2400 Ph: (816) 233-5188 |
NPI Number | 1215676457 |
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Provider Enumeration Date | 06/03/2022 |
Last Update Date | 07/08/2024 |
Identifier | Type | State | Issuer |
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1215676457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |