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Organization

BROOKFIELD FAMILY HEALTH CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY J SUMMERS (OFFICE MNANAGER)
(660) 258-3363
Entity
Organization

Contact information

Practice address
624 W. LOCKLING ST, BROOKFIELD, MO 64628-2336
(660) 258-3363
(660) 258-5409
Mailing address
624 W LOCKLING ST, BROOKFIELD, MO 64628-2003
(660) 258-3363
(660) 258-5409

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
506793702
MO
Enumeration date
10/11/2007
Last updated
06/13/2012
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