# STURGEON MEDICAL CLINIC PC

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

## Provider details

- **NPI number:** 1528411527
- **Authorized official:** DR. ALAN WEAVER D.O. (PRESIDENT)
- **Authorized official phone:** (573) 687-2019

## Contact information

- **Practice address:** 208 N OGDEN ST, STURGEON, MO 65284-9217
- **Practice address phone:** (573) 687-2019
- **Mailing address:** 208 N OGDEN ST, PO BOX 329, STURGEON, MO 65284-9217
- **Mailing address phone:** (573) 687-2019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R8G92 | MO | Yes |

## Other

- **Enumeration date:** 07/14/2016
- **Last updated:** 12/01/2016