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Organization

FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MISSOURI, PC

Active
Parent organization
FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MO PC
Other names
Warrensburg Rural Health Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MO PC
Authorized official
DR. DAVID V PULLIAM D.O. (OFFICER)
(660) 584-7751
Entity
Organization

Contact information

Practice address
513 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-7751
(660) 747-8398
Mailing address
513 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-7750
(660) 747-8398

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
596851105
MO
Enumeration date
10/19/2006
Last updated
07/08/2014
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