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PCRMC - BOND CLINIC MEDICAL GROUP

Internal Medicine Physician

NPI: 1811211063Organization

Specialties, Licenses & Credentials

Family Medicine

Code: 207Q00000X

R8583(MO)30610(MO)

Internal Medicine

Code: 207R00000X

R7D34(MO)116667(MP)

Internal Medicine — Medical Oncology

Code: 207RX0202X

R7812(MO)

Otolaryngology

Code: 207Y00000X

114610(MO)

Surgery

Code: 208600000X

2006036024(MO)119445(MO)

Podiatrist

Code: 213E00000X

2001015853(MO)

Audiologist

Code: 231H00000X

117468(MO)

Physician Assistant — Medical

Code: 363AM0700X

112148(MO)2006005292(MO)

Physician Assistant — Surgical

Code: 363AS0400X

2006001740(MO)

Nurse Practitioner

Code: 363L00000X

128892(MO)

Nurse Practitioner — Adult Health

Code: 363LA2200X

2002005692(MO)

Contact & Hours

Address
600 BLUES LAKE PKWY
ROLLA, MO 65401

Quick Facts

NPI
1811211063
Entity Type
Organization
Medicare
Not confirmed
Specialties
15
Locations
1

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