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Miracl, Llc
Medical Specialty Clinic/Center in Rolla, Missouri
NPI 1518663731

Miracl, Llc is a Medical Specialty Clinic/Center based in Rolla, MO and is specialized in Medical Specialty. Miracl, Llc practices in Rolla, MO. The NPI Number for Miracl, Llc is 1518663731 and holds a License No. (Missouri).

The current practice location address for Miracl, Llc is 1050 W 10Th St # Us, Rolla, MO and can be reached out via phone at 314-454-8181 and via fax at 314-747-1429. You can also correspond with Miracl, Llc through the mailing address at 1050 W 10TH ST # US, ROLLA, MO - 65401-2905 (mailing address contact number: 314-454-8181).

Location: 1050 W 10Th St # Us, Rolla, MO, 65401-2905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518663731
Provider Name
Miracl, Llc
Credential
Provider Entity Type
Organization
Address
1050 W 10Th St # Us, Rolla, MO, 65401-2905
Phone Number
314-454-8181
Fax Number
314-747-1429
Provider Enumeration Date
01/31/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1050 W 10Th St # Us
City
Rolla
State
Missouri
Zip
65401-2905
Phone Number
314-454-8181
Fax Number
314-747-1429
person
Provider Business Mailing Address Details
Address
1050 W 10Th St # Us
City
Rolla
State
Missouri
Zip
65401-2905
Phone Number
314-454-8181
Fax Number
314-747-1429
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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