Organization · NPI-2
Farmington Physician Services LLC
Hospitalist · Farmington, MO
NPI number1659642825
StatusActive
Last updated in NPPESJan 20, 2012
Details
- NPI
- 1659642825
- Entity type
- Organization (NPI-2)
- Legal business name
- Farmington Physician Services LLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2012
- Last updated
- Jan 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
1212 Weber RdFarmington, MO 63640-3325
Phone 573-756-4581
Mailing address
200 Corporate BlvdSuite 201
Lafayette, LA 70508-3870
Authorized official
William Schumacher
Ceo
8008939698
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