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Organization

DEXTER HOSPITAL LLC

Active
Other names
DR DAVID MCFADDEN
Organization subpart
No

Provider details

NPI number
Authorized official
SUE ANN WILLIAMS (CLINIC ADMINISTRATOR)
(573) 624-1640
Entity
Organization

Contact information

Practice address
1300 N ONE MILE RD, SUITE 5, DEXTER, MO 63841
(573) 624-8917
Mailing address
PO BOX 368, DEXTER, MO 63841
(573) 624-3165
(573) 624-3157

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
12/13/2006
Last updated
01/10/2008
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