Organization
BONNE TERRE MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A MULLEN D.O. (PRESIDENT)
(573) 358-3343
Entity
Organization
Contact information
Practice address
30 N ALLEN ST, BONNE TERRE, MO 63628-1210
(573) 358-3343
Mailing address
30 N ALLEN ST, BONNE TERRE, MO 63628-1210
(573) 358-3343
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
36676
MO
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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