Organization · Type 2 NPI
Primary Care of Bonne Terre LLC
General Practice Physician · Bonne Terre, MO
NPI number
1962883751
Active
Practice location
527 Benham St
Bonne Terre, MO 63628-1205
Fax (573) 358-9489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | 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.
3 other providers at this address
About NPI 1962883751
Primary Care of Bonne Terre LLC's National Provider Identifier is 1962883751, issued on Jun 17, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bonne Terre, MO. The record was last updated on Nov 23, 2015.