Mountain Grove Medical and Laser Center INC

NPI #1053760769 in Mountain Grove, Missouri

Provider Information

NPI Number: 1053760769
Entity Type: Organization
Organization Name: Mountain Grove Medical and Laser Center INC
Primary Specialty: General Practice
Enumeration Date: Jun 3, 2016
Last Updated: May 14, 2018

Practice Location

Address: 601 N BUSCH AVE
City: Mountain Grove
State: Missouri
ZIP Code: 65711
Phone: (417) 926-6643

Authorized Official

Name: MR. DOYLE B HILL, DO
Title: OWNER
Phone: (417) 926-6643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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