Organization
HANNIBAL REGIONAL HOSPITAL
Active
Other names
Hannibal Regional Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER DIX (VP FINANCE)
(573) 406-1609
Entity
Organization
Contact information
Practice address
714 MEDICAL PARK DR, MEXICO, MO 65265-3726
(573) 581-7196
(573) 581-3632
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 406-5888
(573) 406-5889
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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