Organization
NORTHEAST MISSOURI ASSOCIATES, INC.
Active
Other names
Lancaster Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EARL MINTER D.O. (OWNER)
(660) 457-3772
Entity
Organization
Contact information
Practice address
HWY 136, LANCASTER, MO 63548
(660) 457-3772
(660) 457-3110
Mailing address
PO BOX 295, LANCASTER, MO 63548-0295
(660) 457-3772
(660) 045-7311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4F20
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598542801
—
MO
Enumeration date
11/06/2006
Last updated
07/06/2010
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