Missouri Baptist Hospital of Sullivan
NPI #1770764193 in Steelville, Missouri
Provider Information
- NPI Number
- 1770764193
- Entity Type
- Organization
- Organization Name
- Missouri Baptist Hospital of Sullivan
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 15, 2007
- Last Updated
- Jan 4, 2008
Practice Location
- Address
- 510 WEST MAIN STREET
- City
- Steelville
- State
- Missouri
- ZIP Code
- 65565
- Phone
- (573) 775-4600
Authorized Official
- Name
- RAYMOND P DAVIDSON II, MD
- Title
- PRESIDENT
- Phone
- (314) 286-2028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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