| Dba Tradewinds Palliative Care | |
|
101 Kingsbury Blvd Fredericktown MO 63645-7959 | |
| (573) 783-7625 | |
| (573) 783-2126 |
| Full Name | Dba Tradewinds Palliative Care |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Kingsbury Blvd, Fredericktown, Missouri |
| Authorized Official Name and Position | Phillip M Beyer (CEO/PRESIDENT) |
| Authorized Official Contact | 5737837625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Tradewinds Palliative Care 101 Kingsbury Blvd Fredericktown MO 63645-7959 Ph: (573) 783-7625 | Dba Tradewinds Palliative Care 101 Kingsbury Blvd Fredericktown MO 63645-7959 Ph: (573) 783-7625 |
| NPI Number | 1396175188 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396175188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
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Beyer Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 W Main St, Fredericktown, MO 63645 Phone: 573-747-9703 Fax: 573-783-8890 |
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Madison Medical Center Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 West Main Street, Fredericktown, MO 63645 Phone: 573-783-3341 Fax: 573-783-1096 |
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