| Its A Wonderful Life Llc | |
|
110 Business Park Dr Ste C Branson MO 65616-7449 | |
| (417) 239-0125 | |
| (417) 239-0127 |
| Full Name | Its A Wonderful Life Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Business Park Dr Ste C, Branson, Missouri |
| Authorized Official Name and Position | Darren Allison (ADMINISTRATOR) |
| Authorized Official Contact | 4172390125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Its A Wonderful Life Llc 110 Business Park Dr Ste C Branson MO 65616-7449 Ph: (417) 239-0125 | Its A Wonderful Life Llc 110 Business Park Dr Ste C Branson MO 65616-7449 Ph: (417) 239-0125 |
| NPI Number | 1497273106 |
|---|---|
| Provider Enumeration Date | 09/01/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497273106 | NPI | - | NPPES |
| 206293805 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2005019384 (Missouri) | Primary |
News Archive
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› Verified 3 days ago
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