Organization
MEXICO WOMENS HEALTH SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA NEWBROUGH (OFFICE MGR)
(573) 581-7040
Entity
Organization
Contact information
Practice address
626 E SUMMIT ST STE J, MEXICO, MO 65265-3298
(573) 581-7040
Mailing address
626 E SUMMIT ST STE J, MEXICO, MO 65265-3298
(573) 581-7040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36175
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502427404
—
MO
Enumeration date
02/22/2008
Last updated
02/22/2008
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