Organization
ALDEN MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E ALDEN DO (OWNER)
(417) 682-5123
Entity
Organization
Contact information
Practice address
210 W 10TH ST, LAMAR, MO 64759-1405
(417) 682-5123
(417) 682-3445
Mailing address
210 W 10TH ST, LAMAR, MO 64759-1405
(417) 682-5123
(417) 682-3445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1H97
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242428001
—
MO
Enumeration date
09/23/2010
Last updated
09/23/2010
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