| Osage Family Clinic, Llc | |
|
1191 Highway Kk Suite 202 Osage Beach MO 65065-3510 | |
| (573) 302-0670 | |
| (573) 302-0677 |
| Full Name | Osage Family Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1191 Highway Kk, Osage Beach, Missouri |
| Authorized Official Name and Position | Samuel Brayfield (OWNER/MANAGING EMPLOYEE) |
| Authorized Official Contact | 5733020670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osage Family Clinic, Llc 1836 Lackland Hill Pkwy Saint Louis MO 63146-3572 Ph: (314) 989-0300 | Osage Family Clinic, Llc 1191 Highway Kk Suite 202 Osage Beach MO 65065-3510 Ph: (573) 302-0670 |
| NPI Number | 1215031737 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215031737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R1E19 (Missouri) | Primary |
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