Primary Care De Soto, LLC
NPI #1497392732 in De Soto, Missouri
Provider Information
- NPI Number
- 1497392732
- Entity Type
- Organization
- Organization Name
- Primary Care De Soto, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 5, 2019
- Last Updated
- Dec 5, 2019
Practice Location
Authorized Official
- Name
- TIMOTHY MAXVILL
- Title
- PARTNER
- Phone
- (314) 398-1533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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