Level 4 Medical Professional Corporation
Level 4 Medical Professional Corporation is a Point of Service in Stockton, Missouri. Licensed in Missouri. Registered with an NPI since 2010.
- Licensed in
- MO
- In the registry since
- 2010
Practice location Address checks out
913 S StStockton, MO 65785-9381
Phone: (417) 809-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence 2003017056 (MO) |
|---|
Record details
| NPI number | 1861706434 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Smock — Owner · (928) 503-4261 |
| Other names | Stockton Lake Walkin Clinic |
| NPI enumerated | August 5, 2010 |
| Last updated in NPPES | January 29, 2015 |
| Mailing address | 913 South St, Stockton, MO 65785-9307 |