Organization
SIKESTON URGENT CARE PC
Active
Other names
SIKESTON URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ALYWIN KLUTTZ M.D. (OWNER)
(573) 471-8500
Entity
Organization
Contact information
Practice address
918 S KINGSHIGHWAY ST, SIKESTON, MO 63801-4416
(573) 471-8500
(573) 471-8501
Mailing address
918 S KINGSHIGHWAY ST, SIKESTON, MO 63801-4416
(573) 471-8500
(573) 471-8501
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
268920
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598319606
—
MO
Enumeration date
06/21/2005
Last updated
08/28/2008
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