Organization
BROOKFIELD MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A HUTCHINSON D.O. (OWNER)
(660) 258-7544
Entity
Organization
Contact information
Practice address
308 N MAIN ST, BROOKFIELD, MO 64628-1601
(660) 258-7544
(660) 258-7577
Mailing address
PO BOX 464, BROOKFIELD, MO 64628-0464
(660) 258-7544
(660) 258-7577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30110
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120002207
RAILROAD MEDICARE
MO
05
—
240728717
—
MO
Enumeration date
05/02/2014
Last updated
05/02/2014
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