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State Of Missouri
General Practice Physician in Marshall, Missouri
NPI 1275073280

State Of Missouri is a General Practice Physician based in Marshall, MO. State Of Missouri practices in Marshall, MO. The NPI Number for State Of Missouri is 1275073280 and holds a License No. (Missouri).

The current practice location address for State Of Missouri is 1547 W Commerce Drive, Marshall, MO and can be reached out via phone at 660-886-2201 and via fax at 660-886-3055.

Location: 1547 W Commerce Drive, Marshall, MO, 65340-0190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275073280
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
1547 W Commerce Drive, Marshall, MO, 65340-0190
Phone Number
660-886-2201
Fax Number
660-886-3055
Provider Enumeration Date
02/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1547 W Commerce Drive
City
Marshall
State
Missouri
Zip
65340-3907
Phone Number
660-886-2201
Fax Number
660-886-3055
person
Provider Business Mailing Address Details
Address
1547 W Commerce Drive
City
Marshall
State
Missouri
Zip
65340-3907
Phone Number
660-886-2201
Fax Number
660-886-3055
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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