Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountain Grove Medical and Laser Center Inc

Organization General Practice Physician · NPI 1053760769

Mountain Grove Medical and Laser Center Inc provides General Practice Physician services in Mountain Grove, Missouri. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 N Busch Ave
Mountain Grove, MO 65711
Phone: (417) 926-6643
Fax: (417) 926-6317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1053760769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doyle Hill — Owner · (417) 926-6643
NPI enumeratedJune 3, 2016
Last updated in NPPESMay 14, 2018
Mailing address1003 Woodside Ave, Essexville, MI 48732-1234

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