Osage Family Clinic, Llc

NPI 1215031737 - Family Medicine - 207Q00000X

NPI Details
NPI 1215031737
Enumeration Date 09/13/2006
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SAMUEL SAMUEL
Position OWNER/MANAGING EMPLOYEE
Phone (573) 302-0670
Fax (573) 302-0677
Practice Location
1191 HIGHWAY KK
SUITE 202
OSAGE BEACH MO, 65065-3510, US
Phone (573) 302-0670
Fax (573) 302-0677
Business Location
1836 LACKLAND HILL PKWY
SAINT LOUIS MO, 63146-3572, US
Phone (314) 989-0300
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number R1E19
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According to our database, Osage Family Clinic, Llc NPI is 1215031737, taxonomy code is 207Q00000X and license number is R1E19, license state is located at Missouri. Osage Family Clinic, Llc physically located at 1191 Highway Kk, Osage Beach MO, 65065-3510. NPI Number 1033115704 has the healthcare provider type.

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1215031737 NPI number is provided on an as is basis without warranty of any kind. 1215031737 is maintained by the National Plan & Provider Enumeration System. The contents of Osage Family Clinic, Llc are for informational purposes only.