Organization
DEXTER HOSPITAL LLC
Active
Other names
The Clinic At Walmart
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUEANN WILLIAMS (CLINIC ADMINISTRATOR)
(573) 624-1640
Entity
Organization
Contact information
Practice address
2025 W BUS HWY 60, DEXTER, MO 63841
(573) 624-7575
(573) 624-6399
Mailing address
1300 N ONE MILE RD, PO BOX 368, DEXTER, MO 63841-1042
(573) 624-2171
(573) 624-3157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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