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Organization
PCRMC MEDICAL GROUP, INC
Active
Organization
PCRMC MEDICAL GROUP, INC
Active
Other names
PCRMC Medical Group Rieth
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DENBO (CEO)
(573) 458-8899
Entity
Organization
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-3431
(573) 458-3433
Mailing address
PO BOX 579, ROLLA, MO 65402-0579
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
05/01/2023
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