Organization
BOONE PHYSICIAN SERVICES LLC
Active
Other names
Boone Health Primary Care - Medical Park
Organization subpart
No
Provider details
NPI number
Authorized official
JARED LONG (ADMINISTRATOR)
(573) 815-6245
Entity
Organization
Contact information
Practice address
600 MEDICAL PARK DR, MEXICO, MO 65265-3724
(573) 581-8500
(573) 581-5397
Mailing address
600 MEDICAL PARK DR, MEXICO, MO 65265-3724
(573) 581-8500
(573) 581-5397
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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