Tri County Medical Clinic P C
Tri County Medical Clinic P C is a health care provider in Clark, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 208 N Ogden St, Box 367, Sturgeon, MO 65284-9217, US |
|Practice Location Phone||573-687-3411|
|Practice Location Fax||573-687-3328|
|Legal Business Name||TRI COUNTY MEDICAL CLINIC P C|
|Enumeration Date ? ||Jan 22, 2009|
|Last Update Date ? ||Jan 22, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Tri County Medical Clinic P C
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Primary Care ||R8G92||Missouri|
Legacy Provider IDs of Tri County Medical Clinic P C
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Tri County Medical Clinic P C
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Tri County Medical Clinic P C's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Dr. Alan M Weaver (D.O.)|
|Authorized Official Title/Position||MEDICAL DIRECTOR|
|Authorized Official Phone Number||573-687-3411|