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Primary Care De Soto, Llc
Primary Care Clinic/Center in De Soto, Missouri
NPI 1497392732

Primary Care De Soto, Llc is a Primary Care Clinic/Center based in De Soto, MO and is specialized in Primary Care. Primary Care De Soto, Llc practices in De Soto, MO. The NPI Number for Primary Care De Soto, Llc is 1497392732 and holds a License No. (Missouri).

The current practice location address for Primary Care De Soto, Llc is 420 N Main St, De Soto, MO and can be reached out via phone at 314-398-1533.

Location: 420 N Main St, De Soto, MO, 63020-1538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497392732
Provider Name
Primary Care De Soto, Llc
Credential
Provider Entity Type
Organization
Address
420 N Main St, De Soto, MO, 63020-1538
Phone Number
314-398-1533
Fax Number
Provider Enumeration Date
12/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 N Main St
City
De Soto
State
Missouri
Zip
63020-1538
Phone Number
314-398-1533
Fax Number
person
Provider Business Mailing Address Details
Address
420 N Main St
City
De Soto
State
Missouri
Zip
63020-1538
Phone Number
314-398-1533
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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