Ozark Valley Medical Clinic, LLC

NPI #1639686850 in Ozark, Missouri

Provider Information

NPI Number: 1639686850
Entity Type: Organization
Organization Name: Ozark Valley Medical Clinic, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LIFT UP SOMEONE TODAY
Primary Specialty: Family Medicine
Enumeration Date: Jan 9, 2018
Last Updated: Mar 17, 2018

Practice Location

Address: 5571 N 21ST ST
City: Ozark
State: Missouri
ZIP Code: 65721-7488
Phone: (417) 317-5330

Authorized Official

Name: DR. PATRICIA ASHTON DERGES, MD
Title: CEO/OWNER
Phone: (417) 317-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X

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