Organization
ADVANCE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ANN WILLIAMS FNP-BC (OWNER)
(573) 722-3467
Entity
Organization
Contact information
Practice address
103 SOUTH OAK STREET, ADVANCE, MO 63730
(573) 722-3467
(573) 722-3469
Mailing address
PO BOX 669, 103 SOUTH OAK STREET, ADVANCE, MO 63730-0669
(573) 722-3467
(573) 722-3469
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
05/24/2012
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