| Suzanne E. Alt, D.o., Llc | |
|
2605 N Baltimore St Kirksville MO 63501-5116 | |
| (660) 665-0817 | |
| (660) 665-2398 |
| Full Name | Suzanne E. Alt, D.o., Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2605 N Baltimore St, Kirksville, Missouri |
| Authorized Official Name and Position | Suzanne E Alt (PRESIDENT) |
| Authorized Official Contact | 6606650817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne E. Alt, D.o., Llc Po Box 1043 Kirksville MO 63501-1043 Ph: (913) 248-9693 | Suzanne E. Alt, D.o., Llc 2605 N Baltimore St Kirksville MO 63501-5116 Ph: (660) 665-0817 |
| NPI Number | 1568431013 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568431013 | NPI | - | NPPES |
| 38463011 | Other | BLUE SHIELD KC, MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MO-R9G62 (Missouri) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | MO-R9G62 (Missouri) | Secondary |
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Physician Services Of Missouri Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 S Baltimore St, Kirksville, MO 63501 Phone: 859-514-5547 Fax: 859-422-4907 | |
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Adair County Health Dept Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 S. Jamison St, Kirksville, MO 63501 Phone: 660-665-8491 Fax: 660-627-2913 | |
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