Organization
PREVENTIVE HEALTHCARE
Active
Other names
Natural Healing Centers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT K CAUDILL M.D. (OWNER/DOCTOR)
(573) 265-0911
Entity
Organization
Contact information
Practice address
201 N JEFFERSON ST, SUITE D, SAINT JAMES, MO 65559-1919
(573) 265-0911
(573) 265-0912
Mailing address
PO BOX 773, SAINT JAMES, MO 65559-0773
(573) 265-0911
(573) 265-0912
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
109789
MO
Other
Enumeration date
06/02/2011
Last updated
09/01/2011
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