Premier Family Medicine | |
895 State Highway 248 Branson MO 65616-3721 | |
(417) 336-5100 | |
(417) 336-5107 |
Full Name | Premier Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 895 State Highway 248, Branson, Missouri |
Authorized Official Name and Position | William K Mahoney (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4173357270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Family Medicine Po Box 770 Branson MO 65615-0770 Ph: (417) 336-5100 | Premier Family Medicine 895 State Highway 248 Branson MO 65616-3721 Ph: (417) 336-5100 |
NPI Number | 1023167236 |
---|---|
Provider Enumeration Date | 01/09/2007 |
Last Update Date | 03/25/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023167236 | NPI | - | NPPES |
CI2096 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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