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Organization

MCCUNE BROOKS REGIONAL HOSPITAL

Active
Parent organization
MCCUNE BROOKS REGIONAL HOSPITAL
Other names
CARTHAGE PEDIATRICS
Organization subpart
Yes

Provider details

NPI number
Legal business name
MCCUNE BROOKS REGIONAL HOSPITAL
Authorized official
MR. ROBERT Y COPELAND (CEO)
(417) 358-8121
Entity
Organization

Contact information

Practice address
1911 BUENA VISTA AVE, CARTHAGE, MO 64836-3178
(417) 237-0983
(417) 237-0997
Mailing address
1911 BUENA VISTA AVE, CARTHAGE, MO 64836-3178
(417) 237-0983
(417) 237-0997

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
100685
MO

Other

Enumeration date
03/31/2009
Last updated
01/26/2012
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