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101 Redtail Dr Ste C Ashland MO 65010-1140 | |
(573) 882-9060 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 101 Redtail Dr Ste C, Ashland, Missouri |
Authorized Official Name and Position | Victor Arnold (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5738821612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 843966 Kansas City MO 64184-3966 Ph: (573) 882-3974 | 101 Redtail Dr Ste C Ashland MO 65010-1140 Ph: (573) 882-9060 |
NPI Number | 1427583418 |
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Provider Enumeration Date | 04/27/2017 |
Last Update Date | 05/13/2019 |
Identifier | Type | State | Issuer |
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1427583418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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