# MEDSTOP ONE INC

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

## Provider details

- **NPI number:** 1417959149
- **Authorized official:** DAVID J. CANTRELL (BUSINESS MANAGER)
- **Authorized official phone:** (573) 335-4100

## Contact information

- **Practice address:** 3065 WILLIAM ST, SUITE 209, CAPE GIRARDEAU, MO 63703-6393
- **Practice address phone:** (573) 335-4100
- **Practice address fax:** (573) 339-7887
- **Mailing address:** 3065 WILLIAM ST, STE 209, CAPE GIRARDEAU, MO 63703-6393
- **Mailing address phone:** (573) 335-4100
- **Mailing address fax:** (573) 339-7887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | MO | Yes |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 07/21/2022