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Organization

SCOTLAND COUNTY MEMORIAL HOSPITAL DBA WYACONDA MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCIA R DIAL (CEO)
(660) 465-8511
Entity
Organization

Contact information

Practice address
127 W JEFFERSON ST, WYACONDA, MO 63474
(660) 479-5553
(660) 479-5520
Mailing address
RR 1 BOX 54, MEMPHIS, MO 63555-9788
(660) 465-2828
(660) 465-2820

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500028600
MO
Enumeration date
07/05/2007
Last updated
06/12/2008
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