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Organization

REGIONAL PRIMARY CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN VAN EARNHART MD (FAMILY PRACTICE PROVIDER)
(618) 697-1331
Entity
Organization

Contact information

Practice address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 332-6000
Mailing address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 332-6000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
501860001
MO
Enumeration date
09/09/2005
Last updated
05/12/2026
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