Organization
REPUBLIC FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVONNE MARIE AGIUS M.D. (MEMBER)
(417) 824-0914
Entity
Organization
Contact information
Practice address
117 W STATE HIGHWAY 174, REPUBLIC, MO 65738-1036
(417) 647-5131
(417) 647-5168
Mailing address
117 W STATE HIGHWAY 174, REPUBLIC, MO 65738-1036
(417) 647-5131
(417) 647-5168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699724708
—
MO
Enumeration date
07/11/2014
Last updated
10/02/2023
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