Organization
MOBERLY MEDICAL CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
1513 UNION AVE, SUITE 2300, MOBERLY, MO 65270-9407
(660) 263-8309
(660) 263-1948
Mailing address
1515 UNION AVE, MOBERLY, MO 65270-9407
(660) 269-3191
(660) 269-2943
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508262003
—
MO
Enumeration date
09/22/2005
Last updated
09/13/2021
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