Organization
MID-MISSOURI FAMILY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. KEUHN MD (OWNER)
(660) 831-3204
Entity
Organization
Contact information
Practice address
78 S. JEFFERSON, MARSHALL, MO 65340
(660) 831-1175
Mailing address
78 S. JEFFERSON, MARSHALL, MO 65340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200130389
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504608506
—
MO
Enumeration date
09/11/2007
Last updated
03/21/2008
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