Organization
WALK IN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN L. MACK MD (OWNER)
(573) 449-2216
Entity
Organization
Contact information
Practice address
900 RAIN FOREST PKWY STE B, COLUMBIA, MO 65202-3796
(573) 449-2216
(573) 449-2217
Mailing address
900 RAIN FOREST PKWY STE B, COLUMBIA, MO 65202-3796
(573) 449-2216
(573) 449-2217
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
36389
MO
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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