institution
Mountain Grove Medical And Laser Center Inc
Rural Health Clinic/Center in Mountain Grove, Missouri
NPI 1972573699

Mountain Grove Medical And Laser Center Inc is a Rural Health Clinic/Center based in Mountain Grove, MO and is specialized in Rural Health. Mountain Grove Medical And Laser Center Inc practices in Mountain Grove, MO. The NPI Number for Mountain Grove Medical And Laser Center Inc is 1972573699 and holds a License No. R7130 (Missouri).

The current practice location address for Mountain Grove Medical And Laser Center Inc is 601 N Busch Ave, Mountain Grove, MO and can be reached out via phone at 417-926-6643 and via fax at 417-926-6317.

Location: 601 N Busch Ave, Mountain Grove, MO, 65711-1415
institution
Provider Profile Details
NPI Number
1972573699
Provider Name
Mountain Grove Medical And Laser Center Inc
Credential
Provider Entity Type
Organization
Address
601 N Busch Ave, Mountain Grove, MO, 65711-1415
Phone Number
417-926-6643
Fax Number
417-926-6317
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
793840 01 MO RIVERBEND
243394905 05 MO
institution
Provider Business Practice Location Address Details
Address
601 N Busch Ave
City
State
Zip
65711
Phone Number
417-926-6643
Fax Number
417-926-6317
person
Provider Business Mailing Address Details
Address
601 N Busch Ave
City
State
Zip
65711
Phone Number
417-926-6643
Fax Number
417-926-6317
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
R7130 (Missouri)
Definition
Definition to come...
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