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WARRENTON FAMILY MEDICINE LLC NPI 1770596884


NPI Information

NPI: 1770596884
Provider Name: WARRENTON FAMILY MEDICINE LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
605 E BOONESLICK RD
SUITE ONE
WARRENTON, MO
ZIP 63383
Phone: (636) 456-1448
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WARRENTON FAMILY MEDICINE LLC is a medical specialty clinic center in Warrenton, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WARRENTON FAMILY MEDICINE LLC NPI is 1770596884. The provider is registered as an organization entity type.

The provider's business location address is:

605 E BOONESLICK RD
SUITE ONE
WARRENTON, MO
ZIP 63383-127
Phone: (636) 456-1448
Fax: (636) 456-9093

The provider's authorized official is Christopher Gene Graves .
The authorized official title is Physician/owner and has the following contact phone number (636) 456-1448.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 11/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty2005019582MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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