# MIDAMERICA ORTHOPAEDIC AND SPINE INSTITUTE LLC

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

## Provider details

- **NPI number:** 1831369107
- **Authorized official:** JOHN D BAILEY DO (OWNER)
- **Authorized official phone:** (660) 665-0950

## Contact information

- **Practice address:** 1701 N ELSON ST, KIRKSVILLE, MO 63501-1129
- **Practice address phone:** (660) 665-0950
- **Practice address fax:** (660) 665-0699
- **Mailing address:** 1701 N ELSON ST, KIRKSVILLE, MO 63501-1129
- **Mailing address phone:** (660) 665-0950
- **Mailing address fax:** (660) 665-0699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 110360 | MO | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 09/29/2014
