FRED K UTHOFF

SIKESTON, MO
NPI1639164965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  102137)
Enumeration Date2005-09-13
Last Update Date2021-03-15
Business Address
FRED K UTHOFF
1019 N MAIN ST
SIKESTON, MO 63801-5043
Phone number: 573-472-7702
Mailing Address
FRED K UTHOFF
1019 N MAIN ST
SIKESTON, MO 63801-5043
Phone number: 573-472-7702
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