| Physicians Alliance Lc | |
|
3241 Percy Dr Cape Girardeau MO 63701-4901 | |
| (573) 334-1222 | |
| (573) 334-3532 |
| Full Name | Physicians Alliance Lc |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 3241 Percy Dr, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Jason C Bandermann (ADMINISTRATOR) |
| Authorized Official Contact | 5733341222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Alliance Lc 3241 Percy Dr Cape Girardeau MO 63701-4901 Ph: (573) 334-1222 | Physicians Alliance Lc 3241 Percy Dr Cape Girardeau MO 63701-4901 Ph: (573) 334-1222 |
| NPI Number | 1649269663 |
|---|---|
| Provider Enumeration Date | 10/21/2005 |
| Last Update Date | 04/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649269663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 104-16 (Missouri) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | 104-16 (Missouri) | Primary |
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