Organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC
Active
Other names
Southeast Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA BERRY (CFO)
(573) 331-6028
Entity
Organization
Contact information
Practice address
624 OLD SAINT MARYS RD, PERRYVILLE, MO 63775-1837
(573) 547-3232
(573) 547-3231
Mailing address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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