# ALDEN MEDICAL CLINIC, LLC

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

## Provider details

- **NPI number:** 1619285731
- **Authorized official:** DR. JOHN E ALDEN DO (OWNER)
- **Authorized official phone:** (417) 682-5123

## Contact information

- **Practice address:** 210 W 10TH ST, LAMAR, MO 64759-1405
- **Practice address phone:** (417) 682-5123
- **Practice address fax:** (417) 682-3445
- **Mailing address:** 210 W 10TH ST, LAMAR, MO 64759-1405
- **Mailing address phone:** (417) 682-5123
- **Mailing address fax:** (417) 682-3445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R1H97 | MO | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 242428001 | — | MO |