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Organization
SCOTLAND COUNTY MEMORIAL HOSPITAL DBA WYACONDA MEDICAL SERVICES
Active
Organization
SCOTLAND COUNTY MEMORIAL HOSPITAL DBA WYACONDA MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA R DIAL (CEO)
(660) 465-8511
Entity
Organization
Contact information
Practice address
127 W JEFFERSON ST, WYACONDA, MO 63474
(660) 479-5553
(660) 479-5520
Mailing address
RR 1 BOX 54, MEMPHIS, MO 63555-9788
(660) 465-2828
(660) 465-2820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
06/12/2008
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