Dillon Plaza Family Medicine Group Lc
Family Medicine in High Ridge, MO. Organization (NPI-2).
NPI number1194055434
StatusActive
Last updated in NPPESFeb 20, 2014
Details
- NPI
- 1194055434
- Entity type
- Organization (NPI-2)
- Legal business name
- Dillon Plaza Family Medicine Group Lc
- Organization subpart
- No
- Enumeration date
- Jan 9, 2010
- Last updated
- Feb 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1 Dillon Plaza DrHigh Ridge, MO 63049-2478
Phone 636-677-3012
Mailing address
1 Dillon Plaza DrHigh Ridge, MO 63049-2478
Phone 636-677-3012
Authorized official
Marylynne Pope
Owner
6366773174
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