Organization
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEINLEIN (COO)
(417) 683-4831
Entity
Organization
Contact information
Practice address
2001 DYS DR, CABOOL, MO 65689-9166
(417) 962-4344
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-4831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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