Foster Family Medicine & Associates Llc

NPI 1134137391 - Family Medicine - 207Q00000X

NPI Details
NPI 1134137391
Enumeration Date 08/04/2006
Last Updated 09/05/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDY ALAN RANDY
Position PRESIDENT
Phone (660) 263-1513
Fax (660) 263-1795
Practice Location
300 N MORLEY ST
MOBERLY MO, 65270-2334, US
Phone (660) 263-1513
Fax (660) 263-1795
Business Location
401 N KEENE ST
MEDICAL NETWORK TECHNOLOGIES
COLUMBIA MO, 65201-6625, US
Phone (573) 874-3300
Fax (573) 876-1601
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 101628
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According to our database, Foster Family Medicine & Associates Llc NPI is 1134137391, taxonomy code is 207Q00000X and license number is 101628, license state is located at Missouri. Foster Family Medicine & Associates Llc physically located at 300 N Morley St, Moberly MO, 65270-2334. NPI Number 1033115704 has the healthcare provider type.

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1134137391 NPI number is provided on an as is basis without warranty of any kind. 1134137391 is maintained by the National Plan & Provider Enumeration System. The contents of Foster Family Medicine & Associates Llc are for informational purposes only.