Organization · Type 2 NPI
Mountain Grove Medical and Laser Center Inc
General Practice Physician · Mountain Grove, MO
NPI number
1053760769
Active
Practice location
601 N Busch Ave
Mountain Grove, MO 65711
Fax (417) 926-6317
Mailing address
1003 Woodside Ave
Essexville, MI 48732-1234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1053760769
Mountain Grove Medical and Laser Center Inc's National Provider Identifier is 1053760769, issued on Jun 3, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mountain Grove, MO. The record was last updated on May 14, 2018.