Family Walk in Clinic of Mountain Grove INC
NPI #1083705529 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1083705529
- Entity Type
- Organization
- Organization Name
- Family Walk in Clinic of Mountain Grove INC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Nov 12, 2014
Practice Location
- Address
- 205 W 3RD ST STE 3
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-1600
- Phone
- (417) 926-3743
Authorized Official
- Name
- DR. KENNETH H DUGAN, M.D.
- Title
- VICE-PRESIDENT
- Phone
- (417) 926-3743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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