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Organization
MOBERLY MEDICAL CLINICS INC
Active
Organization
MOBERLY MEDICAL CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
136 SHELBY PLAZA RD, SHELBINA, MO 63468-1065
(573) 588-1111
(573) 588-1114
Mailing address
136 SHELBY PLAZA RD, SHELBINA, MO 63468-1065
(573) 588-1111
(573) 588-1114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MO
207R00000X
Internal Medicine Physician
—
MO
207RP1001X
Pulmonary Disease Physician
—
MO
208000000X
Pediatrics Physician
—
MO
363A00000X
Physician Assistant
—
MO
363LF0000X
Family Nurse Practitioner
—
MO
Other
Enumeration date
05/23/2007
Last updated
07/21/2022
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