Grace Family Medical Clinic, LLC

NPI #1780119651 in Caruthersville, Missouri

Provider Information

NPI Number
1780119651
Entity Type
Organization
Organization Name
Grace Family Medical Clinic, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Apr 27, 2017
Last Updated
Apr 27, 2017

Practice Location

Address
1206 WARD AVE
ZIP Code
63830-2204
Phone
(573) 922-5111

Authorized Official

Name
DR. JOSEPH M KULPEKSA, MD
Title
OWNER
Phone
(573) 922-5111

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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