Organization
MIDWEST HEALTH GROUP, LLC
Active
Parent organization
MIDWEST HEALTH GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST HEALTH GROUP, LLC
Authorized official
DR. PAUL MONIZ D.O. (OWNER)
(573) 747-1510
Entity
Organization
Contact information
Practice address
508 W PINE ST, FARMINGTON, MO 63640-1426
(573) 747-1510
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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