Organization
CONLEY CLINIC LLC
Active
Parent organization
CONLEY CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONLEY CLINIC, LLC
Authorized official
MRS. TESS LYNNE BIRD (OFFICE MANAGER)
(660) 263-3185
Entity
Organization
Contact information
Practice address
1145 S MORLEY ST, STE 5, MOBERLY, MO 65270-1948
(660) 263-3185
(660) 263-7271
Mailing address
1145 S MORLEY ST, STE 5, MOBERLY, MO 65270-1948
(660) 263-3185
(660) 263-7271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7880
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243532242
—
MO
Enumeration date
08/28/2007
Last updated
02/07/2012
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