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Organization

PREMIER HEALTH CENTER, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE MARIA DE LA TORRE DC (ADMINISTRATOR)
(573) 468-6011
Entity
Organization

Contact information

Practice address
102 PROGRESS PKWY, SULLIVAN, MO 63080-2359
(573) 468-6011
(573) 468-7868
Mailing address
102 PROGRESS PKWY, SULLIVAN, MO 63080-2359
(573) 468-6011
(573) 468-7868

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33207
MO
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
11/29/2006
Last updated
09/11/2025
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