Organization
A PATTERN HEALTH CLINIC, INC
Active
Other names
A Pattern Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANNEX LUBERISSE (PRESIDENT)
(660) 886-9852
Entity
Organization
Contact information
Practice address
1674 S ODELL AVE, MARSHALL, MO 65340-3365
(660) 886-9852
(816) 787-1368
Mailing address
1674 SOUTH ODELL AVE, MARSHALL, MO 65340
(660) 886-9852
(816) 787-1368
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
01272547
MO
Other
Enumeration date
04/10/2013
Last updated
06/01/2015
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