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Organization

HILLSBORO MEDICAL CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD JEFFERY MYLES D.O. (PRESIDENT/OWNER)
(636) 789-2722
Entity
Organization

Contact information

Practice address
10731 HIGHWAY 21, HILLSBORO, MO 63050-5218
(636) 789-2722
(636) 797-5900
Mailing address
10731 HIGHWAY 21, HILLSBORO, MO 63050-5218
(636) 789-2722
(636) 797-5900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115070
HEALTHLINK
MO
01
125997
GHP
MO
01
125999
CMR
MO
01
16219
GHP
MO
01
22389
BLUE CROSS BLUE SHIELD
MO
01
4573819
AETNA
MO
01
9831
BLUECHOICE
MO
Enumeration date
04/18/2006
Last updated
03/31/2008
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