| Dba Missouri Rehabilitation Center-physicians Group | |
|
600 N Main St Mount Vernon MO 65712-1004 | |
| (417) 461-5312 | |
| (417) 461-5765 |
| Full Name | Dba Missouri Rehabilitation Center-physicians Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 N Main St, Mount Vernon, Missouri |
| Authorized Official Name and Position | Mitchell L Wasden (CEO/COO) |
| Authorized Official Contact | 5738848738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Missouri Rehabilitation Center-physicians Group 600 N Main St Mount Vernon MO 65712-1004 Ph: (417) 461-5312 | Dba Missouri Rehabilitation Center-physicians Group 600 N Main St Mount Vernon MO 65712-1004 Ph: (417) 461-5312 |
| NPI Number | 1396879961 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396879961 | NPI | - | NPPES |
| 550156103 | Medicaid | MO |
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