| Medical & Surgical Specialists Of Rolla, Inc. | |
|
600 Blues Lake Pkwy Rolla MO 65401-8022 | |
| (573) 364-8822 | |
| (573) 341-5969 |
| Full Name | Medical & Surgical Specialists Of Rolla, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 Blues Lake Pkwy, Rolla, Missouri |
| Authorized Official Name and Position | Richard Krenning (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5733648822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical & Surgical Specialists Of Rolla, Inc. 600 Blues Lake Pkwy Rolla MO 65401-8022 Ph: (573) 364-8822 | Medical & Surgical Specialists Of Rolla, Inc. 600 Blues Lake Pkwy Rolla MO 65401-8022 Ph: (573) 364-8822 |
| NPI Number | 1376560383 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376560383 | NPI | - | NPPES |
| 503052706 | Medicaid | MO | |
| DA5531 | Other | GA | RAIL ROAD MEDICARE |
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