| Pcrmc Medical Group Rieth | |
|
1050 W 10th St Rolla MO 65401-2905 | |
| (573) 458-3431 | |
| (573) 458-3433 |
| Full Name | Pcrmc Medical Group Rieth |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1050 W 10th St, Rolla, Missouri |
| Authorized Official Name and Position | John Denbo (CEO) |
| Authorized Official Contact | 5734588899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcrmc Medical Group Rieth Po Box 579 Rolla MO 65402-0579 Ph: (314) 989-0300 | Pcrmc Medical Group Rieth 1050 W 10th St Rolla MO 65401-2905 Ph: (573) 458-3431 |
| NPI Number | 1508056540 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508056540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | () | Primary |
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