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Organization

MOSAIC MEDICAL CENTER - MARYVILLE

Active
Other names
Mosaic Medical Center - Maryville Physician Group
Organization subpart
No

Provider details

NPI number
Authorized official
DWIGHT CARVELL (DIRECTOR OF REIMBURSEMENT)
(816) 273-0473
Entity
Organization

Contact information

Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2525
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2525

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
174400000X
Specialist
Primary
207L00000X
Anesthesiology Physician
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RH0003X
Hematology & Oncology Physician
207T00000X
Neurological Surgery Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
208M00000X
Hospitalist Physician
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
02/07/2019
Last updated
12/19/2022
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