Organization
MEXICO WOMENS HEALTH SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA NEWBROUGH (OFFICE MANAGER)
(573) 581-7040
Entity
Organization
Contact information
Practice address
626 E SUMMIT ST, SUITE J, MEXICO, MO 65265-3298
(573) 581-7040
(573) 581-3302
Mailing address
626 E SUMMIT ST, SUITE J, MEXICO, MO 65265-3298
(573) 581-7040
(573) 581-3302
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
36175
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502427404
—
MO
Enumeration date
08/03/2009
Last updated
08/03/2009
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