State of Missouri
State of Missouri is a General Practice Physician in Marshall, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1547 W Commerce DrMarshall, MO 65340-1240
Phone: (660) 886-2201
Fax: (660) 831-3071
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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 number | 1336193895 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Nwcs-Howerton Integrated Medical Clinic; Nwcs-Howerton Integrated Medical Clinic |
| NPI enumerated | May 20, 2006 |
| Last updated in NPPES | August 31, 2020 |
| Certification date | August 31, 2020 |
| Mailing address | 1706 E Elm St, Jefferson City, MO 65101-4130 |
Other providers in Marshall
-
Dr. Craig Glenn Simons, DO
2305 S 65 Hwy, Marshall, MO 65340 · (660) 886-7431
-
State of Missouri
1547 W Commerce Dr, Marshall, MO 65340-3907 · (660) 886-2201