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Organization

FREE WOMEN'S CENTER OF PULASKI COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT G. FOWERS D.O. (OB/GYN) (MEDICAL DOCTOR)
(573) 774-4992
Entity
Organization

Contact information

Practice address
704 HISTORIC ROUTE 66 WEST, SUITE 106, WAYNESVILLE, MO 65583-8322
(573) 774-4992
(573) 774-4968
Mailing address
704 HISTORIC ROUTE 66 WEST, SUITE 106, WAYNESVILLE, MO 65583-8322
(573) 774-4992
(573) 774-4968

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2015013466
MO

Other

Enumeration date
08/20/2018
Last updated
08/20/2018
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