Organization
FARMINGTON CLINIC COMPANY LLC
Active
Organization
FARMINGTON CLINIC COMPANY LLC
Active
Other names
MINERAL AREA UROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL S SLIPKOVICH (CEO)
(615) 764-3049
Entity
Organization
Contact information
Practice address
1101 WEBER RD, SUITE 303, FARMINGTON, MO 63640-3352
(573) 756-8880
(573) 756-8881
Mailing address
PO BOX 504354, SAINT LOUIS, MO 63150-0001
(573) 756-8880
(573) 756-8881
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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