| Bruce A. Megenhardt | |
|
3251 Bagnell Dam Blvd Ste 123 Lake Ozark MO 65049-9745 | |
| (636) 751-1080 | |
| Not Available |
| Full Name | Bruce A. Megenhardt |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3251 Bagnell Dam Blvd, Lake Ozark, Missouri |
| Authorized Official Name and Position | Bruce Allen Megenhardt (OWNER/OPERATOR) |
| Authorized Official Contact | 6367511080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A. Megenhardt 3251 Bagnell Dam Blvd Ste 123 Lake Ozark MO 65049-9745 Ph: (636) 751-1080 | Bruce A. Megenhardt 3251 Bagnell Dam Blvd Ste 123 Lake Ozark MO 65049-9745 Ph: (636) 751-1080 |
| NPI Number | 1801051347 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801051347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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