Organization
SILVERTIP MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA DECLUE (MANAGER)
(573) 438-7778
Entity
Organization
Contact information
Practice address
10430 TINDALL RD, CADET, MO 63630-8283
(573) 438-7778
Mailing address
10430 TINDALL RD, CADET, MO 63630-8283
(573) 438-7778
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9876
IRS
MO
Enumeration date
05/22/2019
Last updated
05/22/2019
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