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1003 E Cherry St Troy MO 63379-1503 | |
(636) 528-6755 | |
(636) 528-6965 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1003 E Cherry St, Troy, Missouri |
Authorized Official Name and Position | Patrick G Bira (CEO) |
Authorized Official Contact | 6365288551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 249 Troy MO 63379-0249 Ph: (636) 528-6755 | 1003 E Cherry St Troy MO 63379-1503 Ph: (636) 528-6755 |
NPI Number | 1184648271 |
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Provider Enumeration Date | 07/26/2006 |
Last Update Date | 07/11/2011 |
Identifier | Type | State | Issuer |
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1184648271 | NPI | - | NPPES |
598223808 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lewis Meyerson, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Sarah Ann Blvd, Troy, MO 63379 Phone: 636-528-5281 Fax: 636-462-2637 | |