Organization
HYATT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BLAINE HYATT (OWNER)
(573) 381-5050
Entity
Organization
Contact information
Practice address
1854 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4553
(573) 381-5050
Mailing address
1854 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4553
(573) 381-5050
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2025
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