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Individual

DR. RACHELENE MIDDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
940 W MOUNT VERNON ST, NIXA, MO 65714-9609
(417) 724-5200
(417) 724-5203
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002005851
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209197813
MO
Enumeration date
08/04/2006
Last updated
05/09/2013
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