CLAY OWEN THORNBURG

HANNIBAL, MO
NPI1710596424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2020023348)
Enumeration Date2020-07-28
Last Update Date2022-07-25
Business Address
CLAY OWEN THORNBURG NP
100 MEDICAL DR
HANNIBAL, MO 63401-6877
Phone number: 573-221-5250
Mailing Address
CLAY OWEN THORNBURG NP
602 S HOME ST
PALMYRA, MO 63461-1747
Phone number: 573-822-8530
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