Specialty Clinic At Bloomsdale | |
255 Boderman Suite 2a Bloomsdale MO 63670 | |
(573) 883-4473 | |
(573) 883-4472 |
Full Name | Specialty Clinic At Bloomsdale |
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Speciality | General Practice |
Location | 255 Boderman, Bloomsdale, Missouri |
Authorized Official Name and Position | Amanda Wolk (BUSINESS OFFICE DIRECTOR) |
Authorized Official Contact | 5738837703 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Specialty Clinic At Bloomsdale Po Box 366 Ste Genevieve MO 63670-0366 Ph: (573) 883-4473 | Specialty Clinic At Bloomsdale 255 Boderman Suite 2a Bloomsdale MO 63670 Ph: (573) 883-4473 |
NPI Number | 1194075200 |
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Provider Enumeration Date | 09/17/2012 |
Last Update Date | 01/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194075200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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Bloomsdale Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 255 Boderman, Bloomsdale, MO 63627 Phone: 573-483-9492 |