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6503 N Us Highway 71 Saint Joseph MO 64506-1048 | |
(816) 232-0743 | |
(816) 364-4151 |
Full Name | |
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Speciality | Family Medicine |
Location | 6503 N Us Highway 71, Saint Joseph, Missouri |
Authorized Official Name and Position | Merlin D Brown (OWNER) |
Authorized Official Contact | 8162320743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6503 N Us Highway 71 Saint Joseph MO 64506-1048 Ph: (816) 232-0743 | 6503 N Us Highway 71 Saint Joseph MO 64506-1048 Ph: (816) 232-0743 |
NPI Number | 1194847830 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194847830 | NPI | - | NPPES |
507490506 | Medicaid | MO | |
CK9030 | Other | MO | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35251 (Missouri) | Primary |