Miller County Board For Services

Specialty details in registry · Lake Ozark, MO

Call (573) 348-3751 Directions

At a glance

3811 Highway D, Lake Ozark, MO 65049-2290

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

3811 Highway D
Lake Ozark, MO 65049-2290
Professional details: NPI, taxonomy & registry record
NPI1790819779
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
320900000X
Enumeration date
Mar 14, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

320900000X · Primary

License reported: 1529-8593 MO

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3811 Highway D
Lake Ozark, MO 65049-2290
Phone
(573) 348-3751
Mailing address
3811 HIGHWAY D

LAKE OZARK, MO 650492290
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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