Organization
GUARDIAN PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRESTON THOMAS HOLIFIELD (OWNER)
(573) 200-6390
Entity
Organization
Contact information
Practice address
2441 MYRA DR, CAPE GIRARDEAU, MO 63703-5803
(573) 200-6390
(573) 755-0706
Mailing address
2441 MYRA DR, CAPE GIRARDEAU, MO 63703-5803
(573) 200-6390
(573) 755-0706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500150249
—
MO
Enumeration date
11/11/2024
Last updated
04/11/2026
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