Dexter Hospital LLC

NPI #1326108226 in Bloomfield, Missouri

Provider Information

NPI Number: 1326108226
Entity Type: Organization
Organization Name: Dexter Hospital LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 11, 2006
Last Updated: Apr 9, 2008

Practice Location

Address: 1003 HIGHWAY 25 NORTH
City: Bloomfield
State: Missouri
ZIP Code: 63825
Phone: (573) 568-3686

Authorized Official

Name: SUE ANN WILLIAMS
Title: CLINIC ADMINISTRATOR
Phone: (573) 624-1640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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