# CORNERSTONE FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1164164711
- **Authorized official:** DR. ZACHARY JOEL TREAT MD (PHYSICIAN)
- **Authorized official phone:** (314) 437-9917

## Contact information

- **Practice address:** 605 E PROMENADE ST, MEXICO, MO 65265-2926
- **Practice address phone:** (573) 200-6078
- **Practice address fax:** (833) 817-7109
- **Mailing address:** 605 E PROMENADE ST, MEXICO, MO 65265-2926
- **Mailing address phone:** (573) 200-6078
- **Mailing address fax:** (833) 817-7109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2022
- **Last updated:** 04/12/2022