1083951560

Everything you always wanted to know about UNDA-RIVERA MD LLC DR. UNDA-RIVERA FRANCISCO RAFAEL but were afraid to ask.

UNDA-RIVERA MD LLC DR. UNDA-RIVERA FRANCISCO RAFAEL

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Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
UNDA-RIVERA MD LLC DR. UNDA-RIVERA FRANCISCO RAFAEL
Gender:
none
Enumeration date:
2013-01-03
Last update date:
2013-01-03
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
207V00000X Obstetrics & Gynecology MO 2011024431

Phone Numbers

Type Number
Mailing Address Telephone Number 5733592930
Practice Location Address Telephone Number 5733593660
Authorized Official Telephone Number 5733593660
Mailing Address Fax Number 5733591304
Practice Location Address Fax Number 5733593521

Addresses

Type Address City State Postal Country
Mailing Address 105 RUSSELL ST HAYTI MO 63851 MO
Practice Location Address 907 E REED ST P. O. BOX 393 HAYTI MO 63851 MO

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NPI Name Address State City
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Organization
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Organization
105 RUSSELL ST MO HAYTI
1861474900 EXTENDED HOME CARE, INC.
Organization
105 RUSSELL ST MO HAYTI
1871611814 EXTENDED HOME CARE, INC
Organization
105 RUSSELL ST MO HAYTI
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Individual
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Organization
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1154589901 UROLOGY GROUP, PC
Organization
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Organization
907 E REED ST MO HAYTI
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Individual
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1447332978 LUANGJAMEKORN, VERACHAI
Individual
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1457352742 MERIDETH, BARBARA
Individual
907 E REED ST MO HAYTI
1477660637 ARSHAD, ABDULLAH
Individual
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1518065291 PEMISCOT COUNTY MEMORIAL HOSPI
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Individual
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1700077799 OYEFESO, OLUMIDE
Individual
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Individual
907 E REED ST MO HAYTI