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Organization
MARINO PHILLIPS AND EARLY CLINIC LLC
Active
Organization
MARINO PHILLIPS AND EARLY CLINIC LLC
Active
Other names
CROWN FAMILY MEDICINE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY D SWISHER (BUSINESS MANAGER)
(660) 665-2846
Entity
Organization
Contact information
Practice address
1 CROWN DR STE 200, KIRKSVILLE, MO 63501-2510
(660) 665-2846
Mailing address
1 CROWN DR STE 200, P O BOX R, KIRKSVILLE, MO 63501-2510
(660) 665-2846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MO
Other
Enumeration date
05/01/2008
Last updated
07/20/2010
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