Bonne Terre Medical Associates, P.c.
NPI #1366521429 in Bonne Terre, Missouri
Provider Information
- NPI Number
- 1366521429
- Entity Type
- Organization
- Organization Name
- Bonne Terre Medical Associates, P.c.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 30 N ALLEN ST
- City
- Bonne Terre
- State
- Missouri
- ZIP Code
- 63628-1210
- Phone
- (573) 358-3343
Authorized Official
- Name
- MR. DAVID A MULLEN, D.O.
- Title
- PRESIDENT
- Phone
- (573) 358-3343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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