Unknown Individual – Obstetrics & Gynecology Physician, NPI 1699774562
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1105 W LIBERTY
SUITE 2050
FARMINGTON, MO 63640
Phone: (573) 701-9600
Fax: (573) 701-9605
Mailing address matches the actual address.
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63640)
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