Organization
SOUTHTOWNE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN TEETER M.D. (OFFICER)
(417) 336-5161
Entity
Organization
Contact information
Practice address
180 MALL RD, SUITE H, HOLLISTER, MO 65672-9602
(417) 336-5161
(417) 336-0242
Mailing address
180 MALL RD, SUITE H, HOLLISTER, MO 65672-9602
(417) 336-5161
(417) 336-0242
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R5F63
MO
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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