Individual
MADELEINE A PHILPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
575 BLUES LAKE PARKWAY, PCRMC CENTER CLINIC, ROLLA, MO 65401
(573) 426-2214
(573) 202-2455
Mailing address
1050 W 10TH ST, ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014021215
MO
Other
Enumeration date
04/14/2010
Last updated
08/22/2019
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