# URBANA MEDICAL CLINIC, L.L.C.

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

## Provider details

- **NPI number:** 1528021565
- **Authorized official:** MRS. JUDITH TAYLOR MD (OWNER)
- **Authorized official phone:** (417) 993-1999

## Contact information

- **Practice address:** 311 W BROADWAY ST, URBANA, MO 65767-9101
- **Practice address phone:** (417) 993-1999
- **Practice address fax:** (417) 993-1806
- **Mailing address:** PO BOX 127, URBANA, MO 65767-0127
- **Mailing address phone:** (417) 993-1999
- **Mailing address fax:** (417) 993-1806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 36348 | MO | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 08/22/2020