Organization
FARMINGTON CLINIC COMPANY LLC
Active
Parent organization
FARMINGTON CLINIC COMPANY LLC
Other names
Women's Health and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FARMINGTON CLINIC COMPANY LLC
Authorized official
DEBBIE T BREWER (DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization
Contact information
Practice address
1216 WEBER ROAD, FARMINGTON, MO 63640-3325
(573) 454-2401
(573) 454-2405
Mailing address
1216 WEBER ROAD, FARMINGTON, MO 63640-3325
(573) 454-2401
(573) 454-2405
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
01/25/2008
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