| Southeast Missouri Health Network | |
|
111 Prairie Drive East Prairie MO 63845 | |
| (573) 649-9311 | |
| (573) 649-9331 |
| Full Name | Southeast Missouri Health Network |
|---|---|
| Speciality | Dentist |
| Location | 111 Prairie Drive, East Prairie, Missouri |
| Authorized Official Name and Position | Sara Deane (CFO) |
| Authorized Official Contact | 5733132500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Missouri Health Network 111 Prairie Drive East Prairie MO 63845 Ph: (573) 649-9311 | Southeast Missouri Health Network 111 Prairie Drive East Prairie MO 63845 Ph: (573) 649-9311 |
| NPI Number | 1679019491 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679019491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |