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PCRMC - BOND CLINIC MEDICAL GROUP

Organization (NPI-2) Active

Internal Medicine

Provider Information

NPI Number
1811211063
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
600 BLUES LAKE PKWY, ROLLA, MO, 654018022
Phone
(573) 364-8822
Fax
(573) 341-5969

Specialties & Taxonomies

Family Medicine License: MO #R8583
Family Medicine License: MO #30610
Internal Medicine License: MO #R7D34
Internal Medicine, Medical Oncology License: MO #R7812
Otolaryngology License: MO #114610
Surgery License: MO #2006036024
Surgery License: MO #119445
Podiatrist License: MO #2001015853
Audiologist License: MO #117468
Physician Assistant, Medical License: MO #112148
Physician Assistant, Medical License: MO #2006005292
Physician Assistant, Surgical License: MO #2006001740
Nurse Practitioner License: MO #128892
Nurse Practitioner, Adult Health License: MO #2002005692
Internal Medicine Primary License: MP #116667

All Addresses

LOCATION

600 BLUES LAKE PKWY

ROLLA, MO, 654018022

(573) 364-8822

MAILING

600 BLUES LAKE PKWY

ROLLA, MO, 654018022

(573) 364-8822