| Bonne Terre Medical Associates, P.c. | |
|
30 N Allen St Bonne Terre MO 63628-1210 | |
| (573) 358-3343 | |
| Not Available |
| Full Name | Bonne Terre Medical Associates, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 30 N Allen St, Bonne Terre, Missouri |
| Authorized Official Name and Position | David A Mullen (PRESIDENT) |
| Authorized Official Contact | 5733583343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonne Terre Medical Associates, P.c. 30 N Allen St Bonne Terre MO 63628-1210 Ph: (573) 358-3343 | Bonne Terre Medical Associates, P.c. 30 N Allen St Bonne Terre MO 63628-1210 Ph: (573) 358-3343 |
| NPI Number | 1366521429 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366521429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 36676 (Missouri) | Primary |
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