# M D M DO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HERITAGE MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407808934
- **Authorized official:** DR. MARK D MATTHEWS DO (OWNER)
- **Authorized official phone:** (417) 846-2277

## Contact information

- **Practice address:** 1011 MAIN ST, CASSVILLE, MO 65625-1335
- **Practice address phone:** (417) 846-2277
- **Practice address fax:** (417) 846-0176
- **Mailing address:** 1011 MAIN ST, CASSVILLE, MO 65625-1335
- **Mailing address phone:** (417) 846-2277
- **Mailing address fax:** (417) 846-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 08/22/2020