Organization
PHELPS COUNTY REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DENBO (CEO)
(573) 458-7901
Entity
Organization
Contact information
Practice address
1202 HOMELIFE DRIVE, ROLLA, MO 65401
(573) 308-5952
Mailing address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8800
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
104
MO
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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