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STATE OF MISSOURI

Psychiatry Physician

NPI: 1164477873Organization

Specialties, Licenses & Credentials

Psychologist

Code: 103T00000X

Psychologist — Clinical

Code: 103TC0700X

Social Worker — Clinical

Code: 1041C0700X

Optometrist

Code: 152W00000X

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Psychiatry & Neurology — Psychiatry

Code: 2084P0800X

Podiatrist

Code: 213E00000X

Contact & Hours

Address
600 E 5TH ST
FULTON, MO 65251

Quick Facts

NPI
1164477873
Entity Type
Organization
Medicare
Not confirmed
Specialties
8
Locations
1

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