# OB GYN CARE OF NORTHEAST MISSOURI LLC

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

## Provider details

- **NPI number:** 1578818159
- **Authorized official:** ANASTASIA SOLOVIEVA MD (CEO)
- **Authorized official phone:** (281) 827-7715

## Contact information

- **Practice address:** 18385 DAIRY WAY, KIRKSVILLE, MO 63501-7519
- **Practice address phone:** (281) 235-6789
- **Mailing address:** 800 W JEFFERSON ST, SECOND FLOOR, KIRKSVILLE, MO 63501-1443
- **Mailing address phone:** (281) 235-6789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2012
- **Last updated:** 10/31/2012