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Organization
DILLON PLAZA FAMILY MEDICINE GROUP LC
Active
Organization
DILLON PLAZA FAMILY MEDICINE GROUP LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLYNNE POPE (OWNER)
(636) 677-3174
Entity
Organization
Contact information
Practice address
1 DILLON PLAZA DR, HIGH RIDGE, MO 63049-2478
(636) 677-3012
Mailing address
1 DILLON PLAZA DR, HIGH RIDGE, MO 63049-2478
(636) 677-3012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2010
Last updated
02/20/2014
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