Advance Medical Clinic

NPI #1265691869 in Advance, Missouri

Provider Information

NPI Number: 1265691869
Entity Type: Organization
Organization Name: Advance Medical Clinic
Primary Specialty: Clinic/Center
Enumeration Date: Jun 9, 2008
Last Updated: May 24, 2012

Practice Location

Address: 103 SOUTH OAK STREET
City: Advance
State: Missouri
ZIP Code: 63730
Phone: (573) 722-3467

Authorized Official

Name: MS. LORI ANN WILLIAMS, FNP-BC
Title: OWNER
Phone: (573) 722-3467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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