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Retired
Medical Specialty Clinic/Center in Hallsville, Missouri
NPI 1962818435

Retired is a Medical Specialty Clinic/Center based in Hallsville, MO and is specialized in Medical Specialty. Retired practices in Hallsville, MO. The NPI Number for Retired is 1962818435 and holds a License No. R5108 (Missouri).

The current practice location address for Retired is 13714 N Sportsmans Dr, Hallsville, MO and can be reached out via phone at 573-696-2391.

Location: 13714 N Sportsmans Dr, Hallsville, MO, 65255-9330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962818435
Provider Name
Retired
Credential
Provider Entity Type
Organization
Address
13714 N Sportsmans Dr, Hallsville, MO, 65255-9330
Phone Number
573-696-2391
Fax Number
Provider Enumeration Date
07/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13714 N Sportsmans Dr
City
Hallsville
State
Missouri
Zip
65255-9330
Phone Number
573-696-2391
Fax Number
person
Provider Business Mailing Address Details
Address
13714 N Sportsmans Dr
City
Hallsville
State
Missouri
Zip
65255-9330
Phone Number
573-696-2391
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
R5108 (Missouri)
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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