ROCKWOOD FAMILY MEDICINE LLC

FENTON, MO
NPI1023280856
Entity TypeOrganization
Authorized ContactLARRY LEE OTEHAM
Owner
636-529-9595
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  199913565)
Enumeration Date2008-04-01
Last Update Date2008-12-17
Business Address
ROCKWOOD FAMILY MEDICINE LLC
1747 SMIZER STATION RD SUITE 3B
FENTON, MO 63026-2784
Phone number: 636-529-9595
Mailing Address
ROCKWOOD FAMILY MEDICINE LLC
1747 SMIZER STATION RD
FENTON, MO 63026-2784
Phone number: 636-529-9595
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