Organization
PHILLIP KINTNER MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP KINTNER M.D. (OWNER)
(573) 664-1278
Entity
Organization
Contact information
Practice address
546 MAPLE VALLEY DR, FARMINGTON, MO 63640-1981
(573) 664-1278
(573) 664-1118
Mailing address
546 MAPLE VALLEY DR, FARMINGTON, MO 63640-1981
(573) 664-1278
(573) 664-1118
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2011017279
MO
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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