Organization
STURGEON MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN WEAVER D.O. (PRESIDENT)
(573) 687-2019
Entity
Organization
Contact information
Practice address
208 N OGDEN ST, STURGEON, MO 65284-9217
(573) 687-2019
Mailing address
208 N OGDEN ST, PO BOX 329, STURGEON, MO 65284-9217
(573) 687-2019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8G92
MO
Other
Enumeration date
07/14/2016
Last updated
12/01/2016
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