Organization
STODDARD COUNTY FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAWAN YAMRAJ MD (OWNER)
(573) 624-1640
Entity
Organization
Contact information
Practice address
1300 N ONE MILE RD, DEXTER, MO 63841-1042
(573) 624-1640
Mailing address
1300 N ONE MILE RD, DEXTER, MO 63841-1042
(573) 624-1640
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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