| Cramer Family Clinic | |
|
1309 W Fairgrounds Rd Ste B Marshall MO 65340-4884 | |
| (660) 815-4184 | |
| (866) 691-6075 |
| Full Name | Cramer Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1309 W Fairgrounds Rd Ste B, Marshall, Missouri |
| Authorized Official Name and Position | Justin Cramer (PRESIDENT) |
| Authorized Official Contact | 6608154184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cramer Family Clinic 2103 Cypress Dr Marshall MO 65340-3707 Ph: (660) 815-4184 | Cramer Family Clinic 1309 W Fairgrounds Rd Ste B Marshall MO 65340-4884 Ph: (660) 815-4184 |
| NPI Number | 1811448764 |
|---|---|
| Provider Enumeration Date | 10/16/2016 |
| Last Update Date | 07/08/2020 |
| Medicare PECOS PAC ID | 4486933256 |
|---|---|
| Medicare Enrollment ID | O20161118000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811448764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | LC001509624 (Missouri) | Primary |
| Provider Name | Justin R Cramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114969292 PECOS PAC ID: 2961535273 Enrollment ID: I20100805001007 |
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