Organization
LAURIE A BEACH
Active
Other names
Pilot Grove Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA D LEDBETTER (DIRECTOR OF OPERATIONS)
(573) 335-4715
Entity
Organization
Contact information
Practice address
212 COLLEGE ST, PILOT GROVE, MO 65276-1005
(660) 834-5100
(660) 834-5101
Mailing address
212 COLLEGE ST, PILOT GROVE, MO 65276-1005
(660) 834-5100
(660) 834-5101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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