Prime Care Family Medicine, INC

NPI #1487908117 in Neosho, Missouri

Provider Information

NPI Number: 1487908117
Entity Type: Organization
Organization Name: Prime Care Family Medicine, INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2012
Last Updated: Nov 2, 2012

Practice Location

Address: 117 E HICKORY ST
City: Neosho
State: Missouri
ZIP Code: 64850
Phone: (417) 451-4545

Authorized Official

Name: CRAIG L PENDERGRASS, DO
Title: OWNER
Phone: (417) 451-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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