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Organization

MOBERLY AREA OSTEOPATHIC CLINIC, INC

Active
Parent organization
MOBERLY AREA OSTEOPATHIC CLINIC, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOBERLY AREA OSTEOPATHIC CLINIC, INC
Authorized official
DR. JON ROBERT MATTSON D.O. (OWNER)
(816) 588-3420
Entity
Organization

Contact information

Practice address
3308 THORNBIRD ST, BLUE SPRINGS, MO 64015-9644
(816) 588-3420
(816) 988-8333
Mailing address
3308 THORNBIRD ST, BLUE SPRINGS, MO 64015-9644
(816) 588-3420
(816) 988-8333

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000165578
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
502240708
MO
Enumeration date
08/28/2007
Last updated
02/11/2010
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