Organization
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Active
Parent organization
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Other names
Quincy Medical Group Kahoka Affiliate
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Authorized official
PATTY WOERMAN (CREDENTIALING SPECIALIST)
(217) 222-6550
Entity
Organization
Contact information
Practice address
133 E MAIN ST, KAHOKA, MO 63445-1775
(660) 727-3388
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
04/04/2023
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