| |
308 S Church St Fayette MO 65248-1243 | |
(660) 248-2217 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 308 S Church St, Fayette, Missouri |
Authorized Official Name and Position | Stephanie Schmidt (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5738841753 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 843966 Kansas City MO 64184-3966 Ph: (573) 884-3300 | 308 S Church St Fayette MO 65248-1243 Ph: (660) 248-2217 |
NPI Number | 1336261080 |
---|---|
Provider Enumeration Date | 04/04/2007 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336261080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |