Organization
EMOLOGIC CLINIC, LLC
Active
Organization
EMOLOGIC CLINIC, LLC
Active
Parent organization
EMOLOGIC CLINIC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMOLOGIC CLINIC LLC
Authorized official
MR. SHAHID INSAF M.D. (OWNER/PSYCHIATRIST)
(417) 243-7777
Entity
Organization
Contact information
Practice address
500 W. MAIN, STE 204, BRANSON, MO 65616
(417) 243-7777
(417) 243-7778
Mailing address
500 W. MAIN, STE 204, BRANSON, MO 65616
(417) 243-7777
(417) 243-7778
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2011026917
MO
2084P0800X
Psychiatry Physician
Primary
2005034472
MO
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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