| Moberly Area Osteopathic Clinic, Inc | |
|
3308 Thornbird St Blue Springs MO 64015-9644 | |
| (816) 588-3420 | |
| (816) 988-8333 |
| Full Name | Moberly Area Osteopathic Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3308 Thornbird St, Blue Springs, Missouri |
| Authorized Official Name and Position | Jon Robert Mattson (OWNER) |
| Authorized Official Contact | 8165883420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moberly Area Osteopathic Clinic, Inc 3308 Thornbird St Blue Springs MO 64015-9644 Ph: (816) 588-3420 | Moberly Area Osteopathic Clinic, Inc 3308 Thornbird St Blue Springs MO 64015-9644 Ph: (816) 588-3420 |
| NPI Number | 1326232851 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 02/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326232851 | NPI | - | NPPES |
| 502240708 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2000165578 (Missouri) | Primary |
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