| Ebo MD LLC | |
|
1417 N Mount Auburn Rd Ste A Cape Girardeau MO 63701-2171 | |
| (573) 803-2941 | |
| (573) 803-0815 |
| Full Name | Ebo MD LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1417 N Mount Auburn Rd Ste A, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Genni L Ourth (MANAGER) |
| Authorized Official Contact | 5738032941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebo MD LLC 1417 N Mount Auburn Rd Ste A Cape Girardeau MO 63701-2171 Ph: (573) 803-2941 | Ebo MD LLC 1417 N Mount Auburn Rd Ste A Cape Girardeau MO 63701-2171 Ph: (573) 803-2941 |
| NPI Number | 1326503376 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326503376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Johns Healthcare Services LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1213 N Kingshighway St Ste A, Cape Girardeau, MO 63701 Phone: 573-271-7001 Fax: 800-782-3045 |
Cross Trails Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2430 Golden Street, Cape Girardeau, MO 63703 Phone: 573-339-1196 Fax: 573-339-9378 |
Auburn Surgery Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Mount Auburn Rd, Ste 200, Cape Girardeau, MO 63703 Phone: 573-332-7881 Fax: 573-651-4431 |
Midtown Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Sprigg St, Cape Girardeau, MO 63701 Phone: 573-332-7992 Fax: 573-332-7998 |
Kenneth a Decoursey, MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 Broadway St, Suite 120, Cape Girardeau, MO 63701 Phone: 573-334-7194 Fax: 573-334-4937 |
Immediate Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876 |