Farmington Clinic Company LLC
NPI #1063517613 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1063517613
- Entity Type
- Organization
- Organization Name
- Farmington Clinic Company LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FARMINGTON CLINIC COMPANY LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 309 GARRETT ST
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645-1084
- Phone
- (573) 783-4683
Authorized Official
- Name
- MICHAEL PORTACCI
- Title
- PRESIDENT
- Phone
- (615) 465-7029
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
| Family Medicine |
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