Putnam County Medical Home Clinics, LLC

NPI #1437600657 in Unionville, Missouri

Provider Information

NPI Number
1437600657
Entity Type
Organization
Organization Name
Putnam County Medical Home Clinics, LLC
Primary Specialty
Family Medicine
Enumeration Date
Oct 24, 2016
Last Updated
Oct 24, 2016

Practice Location

Address
103 S 18TH ST
ZIP Code
63565-1642
Phone
(660) 947-2300

Authorized Official

Name
DAWN FAIRLEY
Title
SOLE OWNER
Phone
(610) 737-4704

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Provider Name
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