Organization
HUTCHINSON CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY A HUTCHINSON DO (OWNER /PRESIDENT)
(660) 258-2536
Entity
Organization
Contact information
Practice address
624 W LOCKLING AVE, BROOKFIELD, MO 64628
(660) 258-2536
(660) 258-3719
Mailing address
PO BOX 312, BROOKFIELD, MO 64628
(660) 258-2536
(660) 258-3719
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
30110
MO
207Q00000X
Family Medicine Physician
Primary
30110
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS0568
RAILROAD MEDICARE
—
Enumeration date
09/07/2006
Last updated
12/17/2007
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