Individual
MRS. HILARY A FRESCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104 EAST HWY 60, MT VIEW, MO 65548-0000
(417) 934-2251
(417) 934-2871
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011017815
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366478588
—
MO
01
—
431560263
TRICARE
MO
01
—
P01106286
RR MCR
MO
Enumeration date
06/23/2006
Last updated
10/02/2014
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