Steadfast Spine And Sports Medicine Of Warrenton Llc | |
1428 N State Highway 47 Ste B Warrenton MO 63383-1375 | |
(636) 456-2966 | |
Not Available |
Full Name | Steadfast Spine And Sports Medicine Of Warrenton Llc |
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Speciality | Clinic/center |
Location | 1428 N State Highway 47 Ste B, Warrenton, Missouri |
Authorized Official Name and Position | Justin Cosgrove (OWNER) |
Authorized Official Contact | 6362830328 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Steadfast Spine And Sports Medicine Of Warrenton Llc 1428 N State Highway 47 Ste B Warrenton MO 63383-1375 Ph: (636) 456-2966 | Steadfast Spine And Sports Medicine Of Warrenton Llc 1428 N State Highway 47 Ste B Warrenton MO 63383-1375 Ph: (636) 456-2966 |
NPI Number | 1366283467 |
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Provider Enumeration Date | 06/03/2024 |
Last Update Date | 06/03/2024 |
Identifier | Type | State | Issuer |
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1366283467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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