State of Missouri

NPI #1407803851 in Higginsville, Missouri

Provider Information

NPI Number: 1407803851
Entity Type: Organization
Organization Name: State of Missouri
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF MISSOURI
Primary Specialty: Family Medicine
Enumeration Date: May 30, 2006
Last Updated: Oct 27, 2020

Practice Location

Address: 100 WEST 1ST ST
City: Higginsville
State: Missouri
ZIP Code: 64037
Phone: (660) 584-2142

Authorized Official

Name: MOLLY JANE BOECKMANN
Title: DIRECTOR OF ADMINISTRATIVE SERVICES
Phone: (573) 751-4055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Family Medicine	207Q00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Matthew David Rhadans, M.D.	Family Medicine	Higginsville	AI Deep Dive
DR. David V Pulliam, D.O.	Family Medicine	Higginsville	AI Deep Dive
DR. John Michael Feuerbacher, M.D.	Family Medicine	Maryville	AI Deep Dive
DR. Brian D. Golightly, M.D.	Family Medicine	Maryville	AI Deep Dive

Organizations

Provider Name	Specialty	City
Western Missouri Medical Center	Family Medicine	Higginsville	AI Deep Dive

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