Organization
SOUTHERN MISSOURI FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E THOMPSON M.D. (OWNER)
(417) 256-3717
Entity
Organization
Contact information
Practice address
1625 GIBSON ST, WEST PLAINS, MO 65775-1873
(417) 256-3717
(417) 256-3738
Mailing address
1402 N KENTUCKY AVE, WEST PLAINS, MO 65775-1822
(417) 256-3717
(417) 256-3738
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R5G97
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202379046
—
MO
Enumeration date
07/08/2008
Last updated
03/17/2010
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