Organization
COUNTY OF CAMDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONDA DAMPIER (ADMINISTRATOR)
(573) 346-5479
Entity
Organization
Contact information
Practice address
1976 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2612
(573) 346-5479
(573) 346-0173
Mailing address
PO BOX 816, 1976 NORTH BUSINESS RT 5, CAMDENTON, MO 65020-0816
(573) 346-5479
(573) 346-0173
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
12485519
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511176208
—
MO
Enumeration date
07/06/2006
Last updated
02/04/2015
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