Organization
MOSAIC MEDICAL CENTER - MARYVILLE
Active
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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