Organization
MEXICO INTERNAL MEDICINE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE HAGEDORN (ADMINISTRATOR)
(573) 581-8500
Entity
Organization
Contact information
Practice address
600 MEDICAL PARK DR, MEXICO, MO 65265-3724
(573) 581-8500
(573) 581-5397
Mailing address
600 MEDICAL PARK DR, MEXICO, MO 65265-3724
(573) 581-8500
(573) 581-5397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
09/11/2025
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