| Immediate Convenient Care-perryville, LLC | |
|
1508 Edgemont Blvd Perryville MO 63775-1231 | |
| (573) 517-7555 | |
| (573) 517-7556 |
| Full Name | Immediate Convenient Care-perryville, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1508 Edgemont Blvd, Perryville, Missouri |
| Authorized Official Name and Position | William Anthony Balsano (VP FINANCIAL AFFAIRS) |
| Authorized Official Contact | 5733315228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Convenient Care-perryville, LLC 1702 N Kingshighway St Cape Girardeau MO 63701-2122 Ph: (573) 339-2000 | Immediate Convenient Care-perryville, LLC 1508 Edgemont Blvd Perryville MO 63775-1231 Ph: (573) 517-7555 |
| NPI Number | 1851682025 |
|---|---|
| Provider Enumeration Date | 04/22/2011 |
| Last Update Date | 04/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851682025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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