Organization
PCRMC - BOND CLINIC MEDICAL GROUP
Active
Parent organization
PHELPS COUNTY REGIONAL MEDICAL CENTER
Other names
Bond Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHELPS COUNTY REGIONAL MEDICAL CENTER
Authorized official
DR. CATHY BOND D.O. (MEDICAL DIRECTOR)
(573) 364-8822
Entity
Organization
Contact information
Practice address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
(573) 364-8822
(573) 341-5969
Mailing address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
(573) 364-8822
(573) 341-5969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30610
MO
207Q00000X
Family Medicine Physician
R8583
MO
207R00000X
Internal Medicine Physician
Primary
116667
MP
207R00000X
Internal Medicine Physician
R7D34
MO
207RX0202X
Medical Oncology Physician
R7812
MO
207Y00000X
Otolaryngology Physician
114610
MO
208600000X
Surgery Physician
119445
MO
208600000X
Surgery Physician
2006036024
MO
213E00000X
Podiatrist
2001015853
MO
231H00000X
Audiologist
117468
MO
363AM0700X
Medical Physician Assistant
112148
MO
363AM0700X
Medical Physician Assistant
2006005292
MO
363AS0400X
Surgical Physician Assistant
2006001740
MO
363L00000X
Nurse Practitioner
128892
MO
363LA2200X
Adult Health Nurse Practitioner
2002005692
MO
Other
Enumeration date
03/17/2010
Last updated
09/17/2020
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