Citizens Memorial Healthcare

NPI #1891909552 in Bolivar, Missouri

Provider Information

NPI Number: 1891909552
Entity Type: Organization
Organization Name: Citizens Memorial Healthcare
Subpart: Yes (part of a larger organization)
Parent Organization: CITIZENS MEMORIAL HEALTHCARE
Primary Specialty: Ophthalmology
Enumeration Date: May 10, 2007
Last Updated: Mar 27, 2014

Practice Location

Address: 1155 W. PARKVIEW ST.
Address 2: SUITE 1 B
City: Bolivar
State: Missouri
ZIP Code: 65613-7800
Phone: (417) 777-2222

Authorized Official

Name: DONA GILLISPIE
Title: ADMINISTRATIVE ASSISTANT
Phone: (417) 328-7243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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