Organization
M D M DO LLC
Active
Other names
Heritage Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D MATTHEWS DO (OWNER/PHYSICIAN)
(417) 635-1177
Entity
Organization
Contact information
Practice address
825 E HIGHWAY 60, SUITE H, MONETT, MO 65708-9311
(417) 635-1177
(417) 635-1180
Mailing address
101 MAIN ST STE 1, CASSVILLE, MO 65625-1651
(417) 846-2277
(417) 846-0176
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
114771
MO
Other
Enumeration date
03/25/2010
Last updated
10/13/2010
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