# MIDWEST HEALTH GROUP CONVENIENT CARE

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

## Provider details

- **NPI number:** 1578797031
- **Authorized official:** DR. PAUL MONIZ M.D. (PHYSICIAN)
- **Authorized official phone:** (573) 454-2466

## Contact information

- **Practice address:** 550 MAPLE VALLEY DR, FARMINGTON, MO 63640-1981
- **Practice address phone:** (573) 454-2466
- **Practice address fax:** (573) 454-2544
- **Mailing address:** 550 MAPLE VALLEY DR, FARMINGTON, MO 63640-1981
- **Mailing address phone:** (573) 454-2466
- **Mailing address fax:** (573) 454-2544

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2009
- **Last updated:** 01/12/2016