| Wentworth Military Academy And Junior College | |
|
1880 Washington Ave Lexington MO 64067-1708 | |
| (660) 259-2221 | |
| (660) 259-2677 |
| Full Name | Wentworth Military Academy And Junior College |
|---|---|
| Speciality | Family Medicine |
| Location | 1880 Washington Ave, Lexington, Missouri |
| Authorized Official Name and Position | Michael Willaim Lierman (CHIEF OF STAFF) |
| Authorized Official Contact | 6602592221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wentworth Military Academy And Junior College 1880 Washington Ave Lexington MO 64067-1708 Ph: (660) 259-2221 | Wentworth Military Academy And Junior College 1880 Washington Ave Lexington MO 64067-1708 Ph: (660) 259-2221 |
| NPI Number | 1669661393 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669661393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 105321 (Missouri) | Primary |
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