Organization
M D M DO, LLC
Active
Other names
HERITAGE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D MATTHEWS DO (OWNER)
(417) 846-2277
Entity
Organization
Contact information
Practice address
1011 MAIN ST, CASSVILLE, MO 65625-1335
(417) 846-2277
(417) 846-0176
Mailing address
1011 MAIN ST, CASSVILLE, MO 65625-1335
(417) 846-2277
(417) 846-0176
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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