Organization · NPI-2

Apollo Healthcare, LLC

Internal Medicine · Farmington, MO

NPI number1366098543
StatusActive
Last updated in NPPESSep 19, 2023

Details

NPI
1366098543
Entity type
Organization (NPI-2)
Legal business name
Apollo Healthcare, LLC
Organization subpart
No
Enumeration date
Aug 14, 2019
Certification date
Sep 19, 2023
Last updated
Sep 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

1031 E Karsch Blvd
Farmington, MO 63640-3404

Phone 573-756-7880

Mailing address

1031 E Karsch Blvd
Farmington, MO 63640-3404

Authorized official

Amelia Doris Ledbetter
Director Of Operations
5733354715

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