# JUNO GROUP LLC

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

## Provider details

- **NPI number:** 1255634275
- **Authorized official:** DR. CHERYL ANN FOGARTY M.D. (OWNER)
- **Authorized official phone:** (417) 624-2621

## Contact information

- **Practice address:** 3103 MCCLELLAND BLVD, JOPLIN, MO 64804-1640
- **Practice address phone:** (417) 624-2621
- **Practice address fax:** (417) 624-4652
- **Mailing address:** PO BOX 3535, JOPLIN, MO 64803-3535
- **Mailing address phone:** (417) 624-2621
- **Mailing address fax:** (417) 624-4652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2003008358 | MO | Yes |

## Other

- **Enumeration date:** 12/14/2010
- **Last updated:** 05/24/2011