Organization
OLDE TOWNE MEDICAL COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL DIBOOGLU FNP-C (FNP-C)
(573) 768-2436
Entity
Organization
Contact information
Practice address
27 W SAINT JOSEPH ST, PERRYVILLE, MO 63775-1344
(573) 768-2399
Mailing address
27 W SAINT JOSEPH ST, PERRYVILLE, MO 63775-1344
(573) 768-2399
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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