# AUDRAIN HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Park Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770773756
- **Authorized official:** DAVID NEUENDORF (CEO)
- **Authorized official phone:** (573) 582-8103

## Contact information

- **Practice address:** 809 MEDICAL PARK DR, SUITE 101, MEXICO, MO 65265-3753
- **Practice address phone:** (573) 581-8590
- **Mailing address:** PO BOX 478, MEXICO, MO 65265-0010
- **Mailing address phone:** (573) 581-8127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 07/26/2007