Whalio Doctors

NPI 1568650885

Dexter School

Organisation Point of Service Dexter, MO

Practice location

Address
1031 Brown Pilot Ln, Dexter, MO 63841-1803
Phone
(573) 614-1000
Fax
(573) 614-1002

Authorised official

Name
Kim Liesel Pierce
Title
Payroll, Medicaid Clerk
Phone
(573) 614-1000

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1568650885
Entity type
Organization
NPI issued
11 Oct 2007
Record last updated
11 Oct 2007

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.