Organization
MOBILE HEALTH PRACTITIONERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY RYAN VAUGH NP-C (ADULT NURSE PRACTITIONER)
(314) 488-3464
Entity
Organization
Contact information
Practice address
1078 EAGLE VALLEY DR, FESTUS, MO 63028-1257
(314) 488-3464
Mailing address
1078 EAGLE VALLEY DR, FESTUS, MO 63028-1257
(314) 488-3464
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
MO
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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