Unknown Individual – Family Medicine Physician, NPI 1316931900
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North Mount Auburn Road, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States
SUITE 418
CAPE GIRARDEAU, MO 637034910
Phone: (573) 332-6000
Fax: (573) 332-6125
Type: Location
3115, Kage Road, Carolewood Estates, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States
CAPE GIRARDEAU, MO 637012105
Phone: (573) 334-0267
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63703)
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