Organization
DEXTER HOSPITAL LLC
Active
Other names
DEXTER CHILDRENS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
SUE WILLIAMS (CLINIC ADMINISTRATOR)
(573) 624-1640
Entity
Organization
Contact information
Practice address
1300 N ONE MILE RD, SUITE 2, DEXTER, MO 63841-1042
(573) 624-6442
Mailing address
PO BOX 368, DEXTER, MO 63841-0368
(573) 624-3165
(573) 624-3157
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MO
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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