St. Marys Westphalia Medical Clinic | |
1875 Highway 63 Westphalia MO 65085-2215 | |
(573) 455-9838 | |
(573) 455-2208 |
Full Name | St. Marys Westphalia Medical Clinic |
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Speciality | Clinic/center |
Location | 1875 Highway 63, Westphalia, Missouri |
Authorized Official Name and Position | Brent Van Conia (PRESIDENT) |
Authorized Official Contact | 5737617000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Marys Westphalia Medical Clinic Po Box 1027 Jefferson City MO 65102-1027 Ph: (573) 761-7246 | St. Marys Westphalia Medical Clinic 1875 Highway 63 Westphalia MO 65085-2215 Ph: (573) 455-9838 |
NPI Number | 1467408484 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 07/28/2007 |
Identifier | Type | State | Issuer |
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1467408484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |