Vienna Family Practice LLC

NPI #1326328295 in Vienna, Missouri

Provider Information

NPI Number
1326328295
Entity Type
Organization
Organization Name
Vienna Family Practice LLC
Primary Specialty
Family Medicine
Enumeration Date
Aug 24, 2011
Last Updated
Aug 24, 2011

Practice Location

Address
111 PARKWAY
City
Vienna
ZIP Code
65582-8003
Phone
(573) 422-3360

Authorized Official

Name
KEITH EDWARD SEGALL, DO
Title
SOLE MEMBER
Phone
(573) 422-3360

Specialties & Taxonomy Codes

Specialty
Family Medicine

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