# WELLPOINTE FAMILY MEDICAL

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

## Provider details

- **NPI number:** 1942475785
- **Authorized official:** MR. AMY D LEDBETTER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (573) 651-4488

## Contact information

- **Practice address:** 543 W HUBBLE DR, MARSHFIELD, MO 65706-1532
- **Practice address phone:** (417) 859-4878
- **Practice address fax:** (417) 859-4878
- **Mailing address:** 543 W HUBBLE DR, MARSHFIELD, MO 65706-1532
- **Mailing address phone:** (417) 859-4878
- **Mailing address fax:** (417) 859-4878

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008