The Sutherland Clinic Llc | |
221 N Main St Paris MO 65275-1328 | |
(660) 327-6416 | |
(660) 327-6217 |
Full Name | The Sutherland Clinic Llc |
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Speciality | Family Medicine |
Location | 221 N Main St, Paris, Missouri |
Authorized Official Name and Position | Charles Sutherland (OWNER) |
Authorized Official Contact | 6603276407 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Sutherland Clinic Llc 221 N Main St Po Box 206 Paris MO 65275-1328 Ph: (660) 327-6416 | The Sutherland Clinic Llc 221 N Main St Paris MO 65275-1328 Ph: (660) 327-6416 |
NPI Number | 1992800635 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 01/05/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992800635 | NPI | - | NPPES |
245101407 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 113731 (Missouri) | Primary |