| Ogmc Llc | |
|
1900 S Broadway Oak Grove MN 64075 | |
| (816) 690-6566 | |
| (816) 625-8276 |
| Full Name | Ogmc Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1900 S Broadway, Oak Grove, Minnesota |
| Authorized Official Name and Position | Steve T Gialde (PARTNER) |
| Authorized Official Contact | 8166906566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ogmc Llc Po Box 670 1900 S Broadway Oak Grove MO 64075 Ph: (816) 690-6566 | Ogmc Llc 1900 S Broadway Oak Grove MN 64075 Ph: (816) 690-6566 |
| NPI Number | 1104916337 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104916337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |