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Organization
OB GYN CARE OF NORTHEAST MISSOURI LLC
Active
Organization
OB GYN CARE OF NORTHEAST MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA SOLOVIEVA MD (CEO)
(281) 827-7715
Entity
Organization
Contact information
Practice address
18385 DAIRY WAY, KIRKSVILLE, MO 63501-7519
(281) 235-6789
Mailing address
800 W JEFFERSON ST, SECOND FLOOR, KIRKSVILLE, MO 63501-1443
(281) 235-6789
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
10/31/2012
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