Southtowne Urgent Care Llc

NPI 1124057112 - Clinic/Center - 261Q00000X

NPI Details
NPI 1124057112
Enumeration Date 07/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRIAN BRIAN
Position OFFICER
Phone (417) 336-5161
Fax (417) 336-0242
Practice Location
180 MALL RD
SUITE H
HOLLISTER MO, 65672-9602, US
Phone (417) 336-5161
Fax (417) 336-0242
Business Location
180 MALL RD
SUITE H
HOLLISTER MO, 65672-9602, US
Phone (417) 336-5161
Fax (417) 336-0242
Toxanomy
Taxonomy Code 261Q00000X
License State Missouri
License Number R5F63
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According to our database, Southtowne Urgent Care Llc NPI is 1124057112, taxonomy code is 261Q00000X and license number is R5F63, license state is located at Missouri. Southtowne Urgent Care Llc physically located at 180 Mall Rd, Hollister MO, 65672-9602. NPI Number 1033115704 has the healthcare provider type.

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1124057112 NPI number is provided on an as is basis without warranty of any kind. 1124057112 is maintained by the National Plan & Provider Enumeration System. The contents of Southtowne Urgent Care Llc are for informational purposes only.