Organization
TABLE ROCK FAMILY CARE CLINIC, LLC
Active
Other names
Table Rock Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S RASMUSSEN DO (PHYSICIAN)
(417) 459-1323
Entity
Organization
Contact information
Practice address
800 HIGHWAY 248 STE F, BRANSON, MO 65616-4078
(417) 324-7672
Mailing address
800 HIGHWAY 248 STE F, BRANSON, MO 65616-4078
(417) 324-7672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/23/2021
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