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Samuel O Fadare, Md, Pa
Adult Mental Health Clinic/Center in Gladstone, Missouri
NPI 1639287824

Samuel O Fadare, Md, Pa is an Adult Mental Health Clinic/Center based in Moberly, MO and is specialized in Adult Mental Health. Samuel O Fadare, Md, Pa practices in Gladstone, MO. The NPI Number for Samuel O Fadare, Md, Pa is 1639287824 and holds a License No. (Missouri).

The current practice location address for Samuel O Fadare, Md, Pa is 5604 Ne Antioch Rd, Gladstone, MO and can be reached out via phone at 660-372-1313 and via fax at 660-372-1339.

Location: 5604 Ne Antioch Rd, Gladstone, MO, 65270-9412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639287824
Provider Name
Samuel O Fadare, Md, Pa
Credential
Provider Entity Type
Organization
Address
5604 Ne Antioch Rd, Gladstone, MO, 65270-9412
Phone Number
660-372-1313
Fax Number
660-372-1339
Provider Enumeration Date
08/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5604 Ne Antioch Rd
City
Gladstone
State
Missouri
Zip
64119-2327
Phone Number
660-372-1313
Fax Number
660-372-1339
person
Provider Business Mailing Address Details
Address
5604 Ne Antioch Rd
City
Gladstone
State
Missouri
Zip
64119-2327
Phone Number
660-372-1313
Fax Number
660-372-1339
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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