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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