Eureka Medical LLC

NPI #1194820860 in Eureka, Missouri

Provider Information

NPI Number: 1194820860
Entity Type: Organization
Organization Name: Eureka Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 14, 2006
Last Updated: Feb 4, 2010

Practice Location

Address: 97 HILL TOP VILLAGE CENTER
Address 2: SUITE E & F
City: Eureka
State: Missouri
ZIP Code: 63025-1184
Phone: (636) 938-6060

Authorized Official

Name: DR. DAVID LAWRENCE PITTENGER, D.O.
Title: CONTROLING OWNER
Phone: (636) 938-6060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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