Organization
MISSOURI VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM FIFER (ATHLETIC DIRECTOR)
(660) 831-4219
Entity
Organization
Contact information
Practice address
500 E COLLEGE ST, MARSHALL, MO 65340-3109
(660) 831-4000
Mailing address
PO BOX 819020, DALLAS, TX 75381-9020
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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