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Organization
RIVERSIDE FAMILY PRACTICE, PC
Active
Organization
RIVERSIDE FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E PALEN M.D. (OWNER)
(573) 335-0166
Entity
Organization
Contact information
Practice address
3129 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6364
(573) 335-0166
(573) 335-7942
Mailing address
3129 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6364
(573) 335-0166
(573) 335-7942
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32836
MO
207R00000X
Internal Medicine Physician
2000160642
MO
207RN0300X
Nephrology Physician
2000160642
MO
Other
Enumeration date
05/25/2006
Last updated
09/11/2025
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