PRIMARY CARE DE SOTO, LLC

DE SOTO, MO
NPI1497392732
Entity TypeOrganization
Authorized ContactTIMOTHY MAXVILL
Partner
314-398-1533
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2019-12-05
Last Update Date2019-12-05
Business Address
PRIMARY CARE DE SOTO, LLC
420 N MAIN ST
DE SOTO, MO 63020-1538
Phone number: 314-398-1533
Mailing Address
PRIMARY CARE DE SOTO, LLC
420 N MAIN ST
DE SOTO, MO 63020-1538
Phone number:
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