| Stone Castle Family Practice Llc | |
|
404 W Us Highway 54 Camdenton MO 65020-6943 | |
| (573) 317-9200 | |
| (573) 317-9202 |
| Full Name | Stone Castle Family Practice Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 404 W Us Highway 54, Camdenton, Missouri |
| Authorized Official Name and Position | David Lee Cathcart (OWNER) |
| Authorized Official Contact | 5733179200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Castle Family Practice Llc 404 W Us Highway 54 Camdenton MO 65020-6943 Ph: (573) 317-9200 | Stone Castle Family Practice Llc 404 W Us Highway 54 Camdenton MO 65020-6943 Ph: (573) 317-9200 |
| NPI Number | 1972783058 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972783058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 109547 (Missouri) | Primary |
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