# MARINO PHILLIPS AND EARLY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CROWN FAMILY MEDICINE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487820254
- **Authorized official:** KIMBERLY D SWISHER (BUSINESS MANAGER)
- **Authorized official phone:** (660) 665-2846

## Contact information

- **Practice address:** 1 CROWN DR STE 200, KIRKSVILLE, MO 63501-2510
- **Practice address phone:** (660) 665-2846
- **Mailing address:** 1 CROWN DR STE 200, P O BOX R, KIRKSVILLE, MO 63501-2510
- **Mailing address phone:** (660) 665-2846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MO | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 07/20/2010