Hannibal Clinic Operations, L.l.c

NPI #1427037225 in Hannibal, Missouri

Provider Information

NPI Number: 1427037225
Entity Type: Organization
Organization Name: Hannibal Clinic Operations, L.l.c
Primary Specialty: General Practice
Enumeration Date: Jan 11, 2006
Last Updated: Apr 18, 2022

Practice Location

Address: 100 MEDICAL DR
City: Hannibal
State: Missouri
ZIP Code: 63401-6877
Phone: (573) 221-5250

Authorized Official

Name: MR. MICHAEL J BUKSTEIN, MD
Title: PHYSICIAN EXEC. DIRECTOR
Phone: (573) 231-3172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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