Organization
FARMINGTON CLINIC COMPANY, LLC
Active
Other names
Farmington Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S SLIPKOVICH (CEO)
(573) 756-5787
Entity
Organization
Contact information
Practice address
1101 WEBER RD, SUITE 302, FARMINGTON, MO 63640-3352
(573) 756-5787
(573) 756-4206
Mailing address
PO BOX 9489, BELFAST, ME 04915-9489
(573) 756-5787
(573) 756-4206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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