Organization
OZARK MOUNTAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ALLEN FNP (OWNER)
(573) 760-4927
Entity
Organization
Contact information
Practice address
715 MAPLE VALLEY DR, FARMINGTON, MO 63640-1944
(573) 760-4927
Mailing address
715 MAPLE VALLEY DR, FARMINGTON, MO 63640-1944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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