| Old Town Paabs | |
|
100 Chapel Dr Ste A Monett MO 65708-9378 | |
| (417) 635-1100 | |
| Not Available |
| Full Name | Old Town Paabs |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Chapel Dr Ste A, Monett, Missouri |
| Authorized Official Name and Position | Shane Becker (AUTHORIZED OFFICIAL / DIRECTOR) |
| Authorized Official Contact | 4176351100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Paabs 100 Chapel Dr Ste A Monett MO 65708-9378 Ph: (417) 635-1100 | Old Town Paabs 100 Chapel Dr Ste A Monett MO 65708-9378 Ph: (417) 635-1100 |
| NPI Number | 1316571656 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316571656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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