Mountain Grove Medical and Laser Center Inc
Mountain Grove Medical and Laser Center Inc provides General Practice Physician services in Mountain Grove, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
601 N Busch AveMountain 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
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence R7130 (MO) |
Record details
| NPI number | 1972573699 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Doyle Hill — President · (417) 926-6643 |
| NPI enumerated | January 25, 2006 |
| Last updated in NPPES | May 14, 2018 |
| Mailing address | 601 N Busch Ave, Mountain Grove, MO 65711-1415 |
Other providers in Mountain Grove
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Mountain Grove Medical and Laser Center Inc
601 N Busch Ave, Mountain Grove, MO 65711 · (417) 926-6643