Organization
TERRY THRASHER D.O. CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L GRAVITT (OFFICE MANAGER)
(660) 263-5787
Entity
Organization
Contact information
Practice address
630 N MORLEY ST, MOBERLY, MO 65270-2556
(660) 263-5787
(660) 263-5860
Mailing address
630 N MORLEY ST, MOBERLY, MO 65270-2556
(660) 263-5787
(660) 263-5860
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
106165
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-8949
RURAL HEALTH CLINIC #
MO
Enumeration date
06/15/2006
Last updated
08/22/2020
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