Missouri Medical Providers LLC
NPI #1043817323 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1043817323
- Entity Type
- Organization
- Organization Name
- Missouri Medical Providers LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 8, 2020
- Last Updated
- Oct 16, 2025
Practice Location
- Address
- 2215 BROADWAY ST
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63701-4403
- Phone
- (636) 725-1255
Authorized Official
- Name
- OMER MALIK
- Title
- OWNER
- Phone
- (636) 725-1255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Registered Nurse - Wound Care — Wound Care |
| Nurse Practitioner - Family — Family |
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