Organization · NPI-2

1st Choice Family And Occupational Medicint Clinic

Preventive Medicine, Occupational Medicine · Sikeston, MO

NPI number1225101157
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1225101157
Entity type
Organization (NPI-2)
Legal business name
1st Choice Family And Occupational Medicint Clinic
Organization subpart
No
Enumeration date
Nov 16, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083X0100X Preventive Medicine, Occupational Medicine37010MOYes
207Q00000X Family Medicine37010MO

Practice location

121 Smith Street
Sikeston, MO 63801

Phone 573-471-0200 · Fax 573-472-3026

Mailing address

121 Smith Street
Sikeston, MO 63801

Phone 573-471-0200 · Fax 573-472-3026

Authorized official

Michele Lillian Stine
Administrator
5734710200

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