Organization
DEXTER SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM LIESEL PIERCE (PAYROLL, MEDICAID CLERK)
(573) 614-1000
Entity
Organization
Contact information
Practice address
1031 BROWN PILOT LN, DEXTER, MO 63841-1803
(573) 614-1000
(573) 614-1002
Mailing address
1031 BROWN PILOT LN, DEXTER, MO 63841-1803
(573) 614-1000
(573) 614-1002
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
MO
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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