Organization
HANNIBAL REGIONAL HOSPITAL
Active
Other names
Hannibal Regional Medical Group Vision Institue
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER J DIX (CFO)
(573) 248-1300
Entity
Organization
Contact information
Practice address
1 NORTHPORT PLZ, HANNIBAL, MO 63401-2269
(573) 221-2646
(573) 221-4479
Mailing address
PO BOX 1239, 6500 HOSPITAL DRIVE, HANNIBAL, MO 63401-1239
(573) 406-5888
(573) 406-5889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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