| Ziva Medical Primary Care Llc | |
|
515 E Promenade St Ste 1 Mexico MO 65265-2966 | |
| (573) 570-3520 | |
| Not Available |
| Full Name | Ziva Medical Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 515 E Promenade St Ste 1, Mexico, Missouri |
| Authorized Official Name and Position | Amanda Shurtz (CEO) |
| Authorized Official Contact | 5735703555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ziva Medical Primary Care Llc Po Box 197 Lakewood NJ 08701-0197 Ph: () - | Ziva Medical Primary Care Llc 515 E Promenade St Ste 1 Mexico MO 65265-2966 Ph: (573) 570-3520 |
| NPI Number | 1144004821 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144004821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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