Organization
PHYSICIANS MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BECKY ROSS (OFFICE MANAGER)
(417) 627-9600
Entity
Organization
Contact information
Practice address
2700 MCCLELLAND BLVD, BLDG. B STE. 216, JOPLIN, MO 64804-1623
(417) 627-9600
(417) 627-9632
Mailing address
2700 MCCLELLAND BLVD, BLDG. B STE. 216, JOPLIN, MO 64804-1623
(417) 627-9600
(417) 627-9632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110186
MO
Other
Enumeration date
04/05/2010
Last updated
05/06/2010
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