Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pcrmc Medical Group Inc

Organization Specialist · NPI 1093012890

Pcrmc Medical Group Inc provides Specialist services in Rolla, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
Specialties on file
2
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

1050 W 10th St Ste 420
Rolla, MO 65401-2905 Not confirmed with CMS for 15 years — call before visiting
Phone: (573) 458-3425
Fax: (573) 426-2282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 2009011768 (MO)
Specialist Taxonomy 174400000X · Licence MODOR4D88 (MO)

Record details

NPI number1093012890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hal Wagher — Corporate Compliance Officer · (573) 458-7615
NPI enumeratedFebruary 15, 2011
Last updated in NPPESFebruary 15, 2011
Mailing addressPo Box 579, Rolla, MO 65402-0579

Other providers in Rolla