| |
100 Eighth Street Suite 2 Winfield MO 63389 | |
(636) 668-6824 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 100 Eighth Street, Winfield, Missouri |
Authorized Official Name and Position | Daniel R Parker (MANAGER) |
Authorized Official Contact | 6366686824 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
100 Eighth Street Suite 2 Winfield MO 63389 Ph: (636) 668-6824 | 100 Eighth Street Suite 2 Winfield MO 63389 Ph: (636) 668-6824 |
NPI Number | 1902013931 |
---|---|
Provider Enumeration Date | 05/17/2007 |
Last Update Date | 12/03/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902013931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |