Organization
COUNTRY CARE MEDICAL CLINIC AND PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MURL GALLEMORE M.S. (CLINIC MANAGER)
(417) 455-2883
Entity
Organization
Contact information
Practice address
1504 N BUSINESS 71, NEOSHO, MO 64850-1975
(417) 455-2883
(417) 455-9358
Mailing address
1504 N BUSINESS 71, NEOSHO, MO 64850-1975
(417) 455-2883
(417) 455-9358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102015
MO
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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