NPI 1487865945

Omc Fee for Service

Organisation Family Medicine Physician West Plains, MO

Practice location

Address: 1100 N Kentucky Ave, West Plains, MO 65775-2029
Phone: (417) 257-6701
Mailing address: PO Box 1100, West Plains, MO 65775-1100

Authorised official

Name: Philip Bagby
Title: President and Ceo
Phone: (417) 256-9111

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 17448 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1487865945
Entity type: Organization
NPI issued: 25 May 2007
Record last updated: 22 Aug 2020

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.