Bruce A. Megenhardt
NPI #1801051347 in Lake Ozark, Missouri
Provider Information
- NPI Number
- 1801051347
- Entity Type
- Organization
- Organization Name
- Bruce A. Megenhardt
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 24, 2008
- Last Updated
- Jun 26, 2009
Practice Location
- Address
- 3251 BAGNELL DAM BLVD
- Address 2
- STE 123
- City
- Lake Ozark
- State
- Missouri
- ZIP Code
- 65049-9745
- Phone
- (636) 751-1080
Authorized Official
- Name
- MR. BRUCE ALLEN MEGENHARDT
- Title
- OWNER/OPERATOR
- Phone
- (636) 751-1080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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