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Organization

PRIVATE HEALTH CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID ROSS CLYMER (CEO)
(417) 782-6169
Entity
Organization

Contact information

Practice address
2401 S JACKSON AVE, JOPLIN, MO 64804-1938
(417) 782-6169
(417) 782-1973
Mailing address
2401 S JACKSON AVE, JOPLIN, MO 64804-1938
(417) 782-6169
(417) 782-1973

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
11/17/2010
Last updated
11/17/2010
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