Eastern Missouri General Services INC

NPI #1467518464 in Desloge, Missouri

Provider Information

NPI Number: 1467518464
Entity Type: Organization
Organization Name: Eastern Missouri General Services INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 322 NO STATE STREET
City: Desloge
State: Missouri
ZIP Code: 63601-3052
Phone: (573) 431-4510

Authorized Official

Name: MR. RIOHARD MARTIN SECOR JR., DO
Title: PRESIDENT PHYSICIAN
Phone: (573) 431-4510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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