Organization
FAMILY MEDICAL CENTER OF CARTHAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TUCKER (OWNER)
(417) 773-6154
Entity
Organization
Contact information
Practice address
1632 MISSOURI AVE, CARTHAGE, MO 64836-3059
(417) 773-6154
Mailing address
PO BOX 10887, SPRINGFIELD, MO 65808-0887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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