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Organization

NOBLE HEALTH AUDRAIN INC

Active
Parent organization
NOBLE HEALTH AUDRAIN INC
Other names
Audrain Comm Specialty Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
NOBLE HEALTH AUDRAIN INC
Authorized official
AMY L OBRIEN (CEO)
(573) 582-5000
Entity
Organization

Contact information

Practice address
515 E PROMENADE ST, MEXICO, MO 65265-2966
(573) 582-8979
(573) 582-3220
Mailing address
515 E PROMENADE ST, MEXICO, MO 65265-2966
(573) 582-8979
(573) 582-3220

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
207X00000X
Orthopaedic Surgery Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
05/10/2021
Last updated
06/23/2022
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