institution
Southern Missouri Family Medicine, Llc
Primary Care Clinic/Center in West Plains, Missouri
NPI 1154584308

Southern Missouri Family Medicine, Llc is a Primary Care Clinic/Center based in West Plains, MO and is specialized in Primary Care. Southern Missouri Family Medicine, Llc practices in West Plains, MO. The NPI Number for Southern Missouri Family Medicine, Llc is 1154584308 and holds a License No. R5G97 (Missouri).

The current practice location address for Southern Missouri Family Medicine, Llc is 1625 Gibson St, West Plains, MO and can be reached out via phone at 417-256-3717 and via fax at 417-256-3738. You can also correspond with Southern Missouri Family Medicine, Llc through the mailing address at 1402 N KENTUCKY AVE, WEST PLAINS, MO - 65775-1822 (mailing address contact number: 417-256-3717).

Location: 1625 Gibson St, West Plains, MO, 65775-1822
institution
Provider Profile Details
NPI Number
1154584308
Provider Name
Southern Missouri Family Medicine, Llc
Credential
Provider Entity Type
Organization
Address
1625 Gibson St, West Plains, MO, 65775-1822
Phone Number
417-256-3717
Fax Number
417-256-3738
Provider Enumeration Date
07/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202379046 05 MO
institution
Provider Business Practice Location Address Details
Address
1625 Gibson St
City
State
Zip
65775-1873
Phone Number
417-256-3717
Fax Number
417-256-3738
person
Provider Business Mailing Address Details
Address
1625 Gibson St
City
State
Zip
65775-1873
Phone Number
417-256-3717
Fax Number
417-256-3738
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
R5G97 (Missouri)
Definition
Definition to come...
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