Mid-Missouri Internal Medicine INC

NPI #1508840901 in Rolla, Missouri

Provider Information

NPI Number: 1508840901
Entity Type: Organization
Organization Name: Mid-Missouri Internal Medicine INC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 30, 2005
Last Updated: May 12, 2008

Practice Location

Address: 1050 W 10TH ST STE 550
City: Rolla
State: Missouri
ZIP Code: 65401-2905
Phone: (573) 364-7545

Authorized Official

Name: TRISH LEANNE KLEIN
Title: OFFICE MANAGER
Phone: (573) 364-7545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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