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Organization
SSM AUDRAIN HEALTH CARE, INC.
Active
Organization
SSM AUDRAIN HEALTH CARE, INC.
Active
Parent organization
SSM AUDRAIN HEALTH CARE, INC.
Other names
Audrain Family Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM AUDRAIN HEALTH CARE, INC.
Authorized official
MR. DAVID A. NEUENDORF (PRESIDENT/CEO)
(573) 582-8108
Entity
Organization
Contact information
Practice address
625 E SUMMIT ST, MEXICO, MO 65265-3294
(573) 473-3831
(573) 473-3706
Mailing address
625 E SUMMIT ST, MEXICO, MO 65265-3294
(573) 473-3831
(573) 473-3706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
05/08/2015
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