Organization
MARTI M COWHERD
Active
Other names
Family Practice of Ray County
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTI MICHELLE COWHERD APRN,BC,FNP,PNP (NP OWNER)
(816) 776-6933
Entity
Organization
Contact information
Practice address
701 WOLLARD BLVD, RICHMOND, MO 64085-2206
(816) 776-6933
(816) 776-2928
Mailing address
701 WOLLARD BLVD, RICHMOND, MO 64085-2206
(816) 776-6933
(816) 776-2928
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
594691404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594691404
—
MO
Enumeration date
11/16/2006
Last updated
06/13/2008
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