Hannibal Clinic Operations, L.l.c.

NPI #1962481663 in Palmyra, Missouri

Provider Information

NPI Number: 1962481663
Entity Type: Organization
Organization Name: Hannibal Clinic Operations, L.l.c.
Primary Specialty: Family Medicine
Enumeration Date: Jan 11, 2006
Last Updated: Apr 18, 2022

Practice Location

Address: 1811 S MAIN ST
City: Palmyra
State: Missouri
ZIP Code: 63461-1961
Phone: (573) 769-2231

Authorized Official

Name: MR. MICHAEL J BUKSTEIN, MD
Title: PHYSICIAN EXEC DIRECTOR
Phone: (573) 231-3172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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