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Organization
EVERSIDE HEALTH, LLC
Active
Organization
EVERSIDE HEALTH, LLC
Active
Other names
Marathon Health, Farmington MO - Maple Valley Dr
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WELLS MD (CEO)
(866) 434-3255
Entity
Organization
Contact information
Practice address
755 MAPLE VALLEY DRIVE, FARMINGTON, MO 63640
(573) 586-4393
Mailing address
PO BOX 1433, PORTSMOUTH, NH 03802-1433
(866) 434-3255
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/01/2022
Last updated
07/28/2026
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