Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Hannibal Clinic Operations, LLC

Organization Family Medicine Physician · NPI 1962481663

Hannibal Clinic Operations, LLC provides Family Medicine Physician services in Palmyra, Missouri. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1811 S Main St
Palmyra, MO 63461-1961
Phone: (573) 769-2231
Fax: (573) 769-3953
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1962481663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bukstein — Physician Exec Director · (573) 231-3172
Other names Hannibal Clinic @ Palmyra; Hannibal Clinic @ Palmyra
NPI enumeratedJanuary 11, 2006
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address100 Medical Dr, Hannibal, MO 63401-6877

Other providers in Palmyra