Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Grove Medical and Laser Center Inc

Organization General Practice Physician · NPI 1053760769

Mountain Grove Medical and Laser Center Inc is a General Practice Physician in Mountain Grove, Missouri. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 N Busch Ave
Mountain Grove, MO 65711
Phone: (417) 926-6643
Fax: (417) 926-6317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1053760769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doyle Hill — Owner · (417) 926-6643
NPI enumeratedJune 3, 2016
Last updated in NPPESMay 14, 2018
Mailing address1003 Woodside Ave, Essexville, MI 48732-1234

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