Organization
PROFESSIONAL URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELESHA BROOKE DRAEGER APRN (APRN)
(620) 762-3809
Entity
Organization
Contact information
Practice address
6055 N MAIN STREET RD, WEBB CITY, MO 64870-7219
(620) 762-3809
(620) 674-3808
Mailing address
6031 N MAIN STREET RD # 395, WEBB CITY, MO 64870-7219
(417) 206-0900
(417) 206-0907
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
20000152478
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200354220C
—
KS
05
—
427487707
—
MO
Enumeration date
04/08/2014
Last updated
10/03/2014
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