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1164792032
PHYSICIAN SERVICES OF MISSOURI LLC
KIRKSVILLE, MO
NPI
1164792032
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Entity Type
Organization
Authorized Contact
CASEY DELOACH
Manager
888-829-8550
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
PHYSICIAN SERVICES OF MISSOURI LLC
1611 S BALTIMORE ST
KIRKSVILLE, MO 63501-4536
Phone number: 859-514-5547
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Mailing Address
PHYSICIAN SERVICES OF MISSOURI LLC
989 GOVERNORS LN SUITE 160
LEXINGTON, KY 40513-1173
Phone number: 859-514-5547
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