Southeast Health Center Of Stoddard County, Llc

Specialty details in registry · Dexter, MO

Call (573) 624-7575 Directions

At a glance

1200 N One Mile Rd, Dexter, MO 63841-1000

NPPES record updated Sep 16, 2025. Public records can lag behind changes at a practice.

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Practice location

1200 N One Mile Rd
Dexter, MO 63841-1000
Professional details: NPI, taxonomy & registry record
NPI1790828812
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QR1300X
Enumeration date
Feb 15, 2007
Record updated
Sep 16, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Family Medicine

207Q00000X

Specialty details in registry

261QR1300X · Primary

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

Practice location

1200 N One Mile Rd
Dexter, MO 63841-1000
Phone
(573) 624-7575
Mailing address
1200 N ONE MILE RD

DEXTER, MO 638411015
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Information may be outdated or incomplete.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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