Organization · Type 2 NPI
Southern Missouri Family Medicine, LLC
Primary Care Clinic/Center · West Plains, MO
NPI number
1154584308
Active
Practice location
1625 Gibson St
West Plains, MO 65775-1873
Fax (417) 256-3738
Mailing address
1402 N Kentucky Ave
West Plains, MO 65775-1822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | R5G97 (MO) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in West Plains
About NPI 1154584308
Southern Missouri Family Medicine, LLC's National Provider Identifier is 1154584308, issued on Jul 8, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in West Plains, MO. The record was last updated on Mar 17, 2010.