Nra Farmington Missouri Llc

NPI 1457392789 - Clinic/Center - 261QE0700X

NPI Details
NPI 1457392789
Enumeration Date 06/09/2006
Last Updated 08/15/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK R MARK
Position TREASURER
Phone (573) 760-1030
Fax (573) 760-1026
Practice Location
1370 W LIBERTY ST
FARMINGTON MO, 63640-1947, US
Phone (573) 760-1030
Fax (573) 760-1026
Business Location
1370 W LIBERTY ST
FARMINGTON MO, 63640-1947, US
Phone (573) 760-1030
Fax (573) 760-1026
Toxanomy
Taxonomy Code 261QE0700X
License State Missouri
License Number N/A
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According to our database, Nra Farmington Missouri Llc NPI is 1457392789, taxonomy code is 261QE0700X and license number is N/A, license state is located at Missouri. Nra Farmington Missouri Llc physically located at 1370 W Liberty St, Farmington MO, 63640-1947. NPI Number 1033115704 has the healthcare provider type.

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1457392789 NPI number is provided on an as is basis without warranty of any kind. 1457392789 is maintained by the National Plan & Provider Enumeration System. The contents of Nra Farmington Missouri Llc are for informational purposes only.