Unknown Individual – Obstetrics & Gynecology Physician, NPI 1407809353
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
614 GRAYHAWK CIR
WENTZVILLE, MO 633853898
Phone: (636) 327-0193
Type: Mailing
103, 11th Street, Chillicothe, Livingston County, Missouri, 64601, United States
SUITE 2
CHILLICOTHE, MO 646011676
Phone: (660) 707-4468
Fax: (660) 707-4470
Type: Location
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 63385)
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