Rock Port Family Medical Center Llc

NPI Provider: 1396741302
Contact Name: BURKE ARON RICHARD
Position: LLC MEMBER
Phone: (660) 744-5361

Rock Port Family Medical Center Llc Information:

Rock Port Family Medical Center Llc organization have npi 1396741302, taxonomy code is 207Q00000X with license number is 3070 in . This Business address located in 100 E Cass St, Rock Port, MO 64482 Missouri.

Practice Location
Address: 100 E Cass St, Rock Port, MO 64482
Phone: (660) 744-5361

Business Location
Address: 100 E Cass St, Rock Port, MO 64482
Phone: (660) 744-5361
Fax: (660) 744-2247

Taxonomy

Taxonomy Code: 207Q00000X

License Number: 3070

License Number of State: MO

Primary Taxonomy Switch: Y

Enumeration Date: 6/23/2005

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