Organization
NOBLE HEALTH FULTON INC
Active
Parent organization
NOBLE HEALTH FULTON INC
Other names
Callaway Specialty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOBLE HEALTH FULTON INC
Authorized official
JEFFREY A STONE (INTERIM CEO)
(573) 642-3376
Entity
Organization
Contact information
Practice address
850 N HOSPITAL DR STE A, FULTON, MO 65251-2535
(573) 592-6585
(573) 826-2440
Mailing address
10 S HOSPITAL DR, FULTON, MO 65251-2510
(573) 642-3376
(573) 592-6690
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
06/21/2021
Last updated
06/23/2022
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