| Through Him Medical, Llc | |
|
1307 Porter Wagoner Blvd West Plains MO 65775-1828 | |
| (417) 255-8645 | |
| (417) 255-8649 |
| Full Name | Through Him Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1307 Porter Wagoner Blvd, West Plains, Missouri |
| Authorized Official Name and Position | Robin Orsborn (MANAGER) |
| Authorized Official Contact | 4172558645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Through Him Medical, Llc 1307 Porter Wagoner Blvd West Plains MO 65775-1828 Ph: (417) 255-8645 | Through Him Medical, Llc 1307 Porter Wagoner Blvd West Plains MO 65775-1828 Ph: (417) 255-8645 |
| NPI Number | 1033508254 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 02/10/2015 |
| Medicare PECOS PAC ID | 4688999808 |
|---|---|
| Medicare Enrollment ID | O20150211000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033508254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2009018149 (Missouri) | Primary |
| Provider Name | John A Washburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578792644 PECOS PAC ID: 6507016607 Enrollment ID: I20121026000116 |
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