Rolla Urgent Care LLC

NPI #1881819464 in Rolla, Missouri

Provider Information

NPI Number: 1881819464
Entity Type: Organization
Organization Name: Rolla Urgent Care LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ROLLA URGENT CARE LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 17, 2007
Last Updated: Sep 14, 2017

Practice Location

Address: 1060 S BISHOP AVE
City: Rolla
State: Missouri
ZIP Code: 65401-4411
Phone: (573) 426-5900

Authorized Official

Name: MR. OLUYOMI O OLUSANYA, MD
Title: OWNER/DEL. OFFICIAL
Phone: (573) 426-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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