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Organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC
Active
Organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC
Active
Other names
Southeast Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA BERRY (CFO)
(573) 331-6028
Entity
Organization
Contact information
Practice address
624 OLD SAINT MARYS RD, PERRYVILLE, MO 63775-1837
(573) 547-3232
(573) 547-3231
Mailing address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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