Republic Family Medicine, LLC

NPI #1679980502 in Republic, Missouri

Provider Information

NPI Number: 1679980502
Entity Type: Organization
Organization Name: Republic Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 11, 2014
Last Updated: Oct 2, 2023

Practice Location

Address: 117 W STATE HIGHWAY 174
City: Republic
State: Missouri
ZIP Code: 65738-1036
Phone: (417) 647-5131

Authorized Official

Name: DR. YVONNE MARIE AGIUS, M.D.
Title: MEMBER
Phone: (417) 824-0914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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