# PIKE MEDICAL CLINIC, INC

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

## Provider details

- **NPI number:** 1699775668
- **Authorized official:** JAN F ONIK DO (PHYSICIAN)
- **Authorized official phone:** (573) 754-5555

## Contact information

- **Practice address:** 905 BUSINESS HWY 161 S, BOWLING GREEN, MO 63334-0000
- **Practice address phone:** (573) 324-2241
- **Practice address fax:** (573) 324-5137
- **Mailing address:** 905 BUSINESS HWY 161 S, BOWLING GREEN, MO 63334-0000
- **Mailing address phone:** (573) 324-2241
- **Mailing address fax:** (573) 324-5137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R5C36 | MO | Yes |

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 08/22/2020