| Primary Care De Soto, Llc | |
| 
					420 N Main St De Soto MO 63020-1538  | |
| (314) 398-1533 | |
| Not Available | 
| Full Name | Primary Care De Soto, Llc | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 420 N Main St, De Soto, Missouri | 
| Authorized Official Name and Position | Timothy Maxvill (PARTNER) | 
| Authorized Official Contact | 3143981533 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Primary Care De Soto, Llc 420 N Main St De Soto MO 63020-1538 Ph: () -  | Primary Care De Soto, Llc 420 N Main St De Soto MO 63020-1538 Ph: (314) 398-1533  | 
| NPI Number | 1497392732 | 
|---|---|
| Provider Enumeration Date | 12/05/2019 | 
| Last Update Date | 12/05/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497392732 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary | 
Rowden Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Jefferson Sq, De Soto, MO 63020 Phone: 636-586-6685 Fax: 636-586-2780  | |
Families 1st Of Desoto, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 W Pratt St, De Soto, MO 63020 Phone: 636-337-7800 Fax: 636-337-7804  | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 W Pratt St, De Soto, MO 63020 Phone: 636-586-2522 Fax: 636-586-2546  | |
Rowden Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400b W Lueking Dr, De Soto, MO 63020 Phone: 636-337-7800 Fax: 573-438-1222  | |
Families 1st Of Desoto, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 W Pratt St, De Soto, MO 63020 Phone: 636-337-7800 Fax: 636-586-2276  |