Organization
MOSAIC MEDICAL CENTER - MARYVILLE
Active
Other names
Mosaic Specialty Care - East
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT R CARVELL (DIRECTOR OF REIMBUREMENT)
(816) 273-0473
Entity
Organization
Contact information
Practice address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-2525
(660) 562-4303
Mailing address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-2525
(660) 562-4303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/22/2019
Last updated
06/10/2019
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