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Organization
A T STILL UNIVERSITY OF HEALTH SCIENCES
Active
Organization
A T STILL UNIVERSITY OF HEALTH SCIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM MOORE (CLINIC MANAGER)
(660) 626-2739
Entity
Organization
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2739
(660) 626-2150
Mailing address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2739
(660) 626-2150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500772306
—
MO
01
—
CH0404
PALMETTO GBA-RR MEDICARE
MO
Enumeration date
04/06/2006
Last updated
02/18/2026
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