Organization · Type 2 NPI

Physician Management Services of Southern Missouri, LLC

Family Medicine Physician · O Fallon, MO

NPI number 1164932893 Active

Practice location

1002 Peruque Crossing Ct
O Fallon, MO 63366-2362

Mailing address

800 N Magnolia Ave Ste 700
Orlando, FL 32803-3264

Other practice locations

  • 1611 S Baltimore St, Kirksville, MO 63501-4518 · (888) 829-8550
  • 1131 W Kansas St, Liberty, MO 64068-2281 · (888) 829-8550

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in O Fallon

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About NPI 1164932893

Physician Management Services of Southern Missouri, LLC's National Provider Identifier is 1164932893, issued on Oct 9, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in O Fallon, MO. The record was last updated on Jul 24, 2026.