# PHYSICIANS MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114242914
- **Authorized official:** MS. BECKY ROSS (OFFICE MANAGER)
- **Authorized official phone:** (417) 627-9600

## Contact information

- **Practice address:** 2700 MCCLELLAND BLVD, BLDG. B STE. 216, JOPLIN, MO 64804-1623
- **Practice address phone:** (417) 627-9600
- **Practice address fax:** (417) 627-9632
- **Mailing address:** 2700 MCCLELLAND BLVD, BLDG. B STE. 216, JOPLIN, MO 64804-1623
- **Mailing address phone:** (417) 627-9600
- **Mailing address fax:** (417) 627-9632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 110186 | MO | Yes |

## Other

- **Enumeration date:** 04/05/2010
- **Last updated:** 05/06/2010