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Organization
GOOD SHEPHERD FAMILY CLINIC INC
Active
Organization
GOOD SHEPHERD FAMILY CLINIC INC
Active
Other names
Good Shepherd Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SUE OLSON (OFFICE MANAGER)
(417) 335-5022
Entity
Organization
Contact information
Practice address
112 BUSINESS PARK DR, BRANSON, MO 65616-7426
(417) 335-5022
(417) 335-5044
Mailing address
112 BUSINESS PARK DR, BRANSON, MO 65616-7426
(417) 335-5022
(417) 335-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007021133
MO
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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