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189 Iowa Blvd Trenton MO 64683-8346 | |
(660) 358-5750 | |
(660) 358-5740 |
Full Name | |
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Speciality | Family Medicine |
Location | 189 Iowa Blvd, Trenton, Missouri |
Authorized Official Name and Position | Les Reed (CFO) |
Authorized Official Contact | 6603585702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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189 Iowa Blvd Trenton MO 64683-8346 Ph: (660) 358-5750 | 189 Iowa Blvd Trenton MO 64683-8346 Ph: (660) 358-5750 |
NPI Number | 1275852519 |
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Provider Enumeration Date | 05/26/2010 |
Last Update Date | 11/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275852519 | NPI | - | NPPES |
1235334624 | Other | MO | NPI |
1912930975 | Other | MO | NPI |
1720236193 | Other | MO | NPI |
1174557672 | Other | MO | NPI |