Organization
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEINLEIN (COO)
(417) 683-4831
Entity
Organization
Contact information
Practice address
504 WEST BROADWAY AVE., AVA, MO 65608-6560
(417) 683-5739
Mailing address
PO BOX 1359, AVA, MO 65608-1359
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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