Bonne Terre Medical Associates, P.c.

NPI 1366521429 - Clinic/Center - 261QP2300X

NPI Details
NPI 1366521429
Enumeration Date 11/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID A DAVID
Position PRESIDENT
Phone (573) 358-3343
Fax
Practice Location
30 N ALLEN ST
BONNE TERRE MO, 63628-1210, US
Phone (573) 358-3343
Fax
Business Location
30 N ALLEN ST
BONNE TERRE MO, 63628-1210, US
Phone (573) 358-3343
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Missouri
License Number 36676
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According to our database, Bonne Terre Medical Associates, P.c. NPI is 1366521429, taxonomy code is 261QP2300X and license number is 36676, license state is located at Missouri. Bonne Terre Medical Associates, P.c. physically located at 30 N Allen St, Bonne Terre MO, 63628-1210. NPI Number 1033115704 has the healthcare provider type.

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1366521429 NPI number is provided on an as is basis without warranty of any kind. 1366521429 is maintained by the National Plan & Provider Enumeration System. The contents of Bonne Terre Medical Associates, P.c. are for informational purposes only.