| NPI | 1457480188 |
|---|---|
| Doing Business As | MERCY CLINIC FAMILY MEDICINE-MOUNTAIN GROVE |
| Entity Type | Organization |
| Authorized Contact | ROBERT CAVAGNOL Chief Physician Officer 417-820-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R9C21) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 130675) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 119291) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-12-04 |