Organization
MIDWEST OB GYN OF MISSOURI, LLC
Active
Parent organization
MIDWEST OB GYN OF MISSOURI, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST OB GYN OF MISSOURI, LLC
Authorized official
JOHN R PATTY DO (OWNER/PHYSICIAN)
(573) 772-7000
Entity
Organization
Contact information
Practice address
2210 BARRON RD STE 206, POPLAR BLUFF, MO 63901-1908
(573) 772-7000
Mailing address
PO BOX 1007, POPLAR BLUFF, MO 63902-1007
(573) 772-7000
(573) 686-1315
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
03/05/2021
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