Organization
SHOW ME STATE INFUSION CLINIC, LLC
Active
Other names
Show Me State Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS VOGEL (OWNER)
(573) 307-9070
Entity
Organization
Contact information
Practice address
1704 BROADWAY ST # UNITE104, CAPE GIRARDEAU, MO 63701-4580
(573) 307-9070
Mailing address
1704 BROADWAY ST # UNITE104, CAPE GIRARDEAU, MO 63701-4580
(573) 307-9070
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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