| Specialty Clinic At Bloomsdale | |
|
255 Boderman Suite 2a Bloomsdale MO 63670 | |
| (573) 883-4473 | |
| (573) 883-4472 |
| Full Name | Specialty Clinic At Bloomsdale |
|---|---|
| Speciality | General Practice |
| Location | 255 Boderman, Bloomsdale, Missouri |
| Authorized Official Name and Position | Amanda Wolk (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 5738837703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Clinic At Bloomsdale Po Box 366 Ste Genevieve MO 63670-0366 Ph: (573) 883-4473 | Specialty Clinic At Bloomsdale 255 Boderman Suite 2a Bloomsdale MO 63670 Ph: (573) 883-4473 |
| NPI Number | 1194075200 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194075200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Bloomsdale Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 255 Boderman, Bloomsdale, MO 63627 Phone: 573-483-9492 |