Individual
MRS. DOROTHY ANN PEERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5515 COUNTY ROAD 420, FULTON, MO 65251-6773
(573) 355-1489
Mailing address
5515 COUNTY ROAD 420, FULTON, MO 65251-6773
(573) 355-1489
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
S036235006
MO
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/15/2010
Last updated
05/15/2010
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