# FREE WOMEN'S CENTER OF PULASKI COUNTY

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

## Provider details

- **NPI number:** 1922588821
- **Authorized official:** MR. ROBERT G. FOWERS D.O. (OB/GYN) (MEDICAL DOCTOR)
- **Authorized official phone:** (573) 774-4992

## Contact information

- **Practice address:** 704 HISTORIC ROUTE 66 WEST, SUITE 106, WAYNESVILLE, MO 65583-8322
- **Practice address phone:** (573) 774-4992
- **Practice address fax:** (573) 774-4968
- **Mailing address:** 704 HISTORIC ROUTE 66 WEST, SUITE 106, WAYNESVILLE, MO 65583-8322
- **Mailing address phone:** (573) 774-4992
- **Mailing address fax:** (573) 774-4968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2015013466 | MO | Yes |

## Other

- **Enumeration date:** 08/20/2018
- **Last updated:** 08/20/2018
