NPI 1043455272
Sb40 Tcm
Practice location
- Address
- Hc 1 Box 2, Middle Brook, MO 63656-9701
- Phone
- (573) 546-3981
- Mailing address
- PO Box 278, Ironton, MO 63650-0278
Authorised official
- Name
- Gary Wayne Phegley
- Title
- Director
- Phone
- (573) 546-3981
Registered specialties (2)
Case Management Agency
Primary
Case Management Agency
Registry record
- NPI
- 1043455272
- Entity type
- Organization
- NPI issued
- 2 Dec 2008
- Record last updated
- 2 Dec 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.