Organization
FOREVER YOUNG
Active
Parent organization
PROFESSIONAL URGENT CARE, LLC
Other names
Professional Urgent Care, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL URGENT CARE, LLC
Authorized official
DR. DAVID LARUE DO (MEDICAL DIRECTOR)
(417) 206-0900
Entity
Organization
Contact information
Practice address
6055 N MAIN STREET RD, WEBB CITY, MO 64870-7219
(417) 206-0900
(417) 206-0907
Mailing address
6031 N MAIN STREET RD, #395, WEBB CITY, MO 64870-7219
(417) 206-0900
(417) 206-0907
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R9J48
MO
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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