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 1972573699

Mountain Grove Medical and Laser Center Inc is a General Practice Physician in Mountain Grove, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
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

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
General Practice Physician Taxonomy 208D00000X · Licence R7130 (MO)

Record details

NPI number1972573699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doyle Hill — President · (417) 926-6643
NPI enumeratedJanuary 25, 2006
Last updated in NPPESMay 14, 2018
Mailing address601 N Busch Ave, Mountain Grove, MO 65711-1415

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