| Claybrooke Medical Group, Llc | |
|
1428 N Highway 47 Suite B. Warrenton MO 63383-1375 | |
| (636) 456-1500 | |
| (636) 456-5014 |
| Full Name | Claybrooke Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1428 N Highway 47, Warrenton, Missouri |
| Authorized Official Name and Position | Richard Bruce Buckles (OWNER/PHYSCIAN) |
| Authorized Official Contact | 6364561500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Claybrooke Medical Group, Llc 1428 N Highway 47 Suite B. Warrenton MO 63383-1375 Ph: (636) 456-1500 | Claybrooke Medical Group, Llc 1428 N Highway 47 Suite B. Warrenton MO 63383-1375 Ph: (636) 456-1500 |
| NPI Number | 1518149517 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518149517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R9618 (Missouri) | Primary |
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