Woods Medical Clinic, Llc

NPI 1578682779 - General Practice - 208D00000X

NPI Details
NPI 1578682779
Enumeration Date 03/28/2007
Last Updated 11/01/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RANDY LYNN RANDY
Position OWNER
Phone (573) 222-2292
Fax (573) 222-2383
Practice Location
250 S HICKMAN ST
PUXICO MO, 63960-9122, US
Phone (573) 222-2292
Fax (573) 222-2383
Business Location
250 S HICKMAN ST
PUXICO MO, 63960-9122, US
Phone (573) 222-2292
Fax (573) 222-2383
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Woods Medical Clinic, Llc NPI is 1578682779, taxonomy code is 208D00000X Woods Medical Clinic, Llc physically located at 250 S Hickman St, Puxico MO, 63960-9122. NPI Number 1033115704 has the healthcare provider type.

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1578682779 NPI number is provided on an as is basis without warranty of any kind. 1578682779 is maintained by the National Plan & Provider Enumeration System. The contents of Woods Medical Clinic, Llc are for informational purposes only.