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Pike Medical Clinic, INC

Family Medicine in Louisiana, MO. Organization (NPI-2).

NPI number1740280767
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1740280767
Entity type
Organization (NPI-2)
Legal business name
Pike Medical Clinic, INC
Organization subpart
No
Enumeration date
Aug 1, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR5C36MOYes

Practice location

211 S 3rd St
Louisiana, MO 63353-2000

Phone 573-754-5555 · Fax 573-754-4077

Mailing address

211 S 3rd St
Louisiana, MO 63353-2000

Phone 573-754-5555 · Fax 573-754-4077

Authorized official

Jan F Onik
Physician
5737545555

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