Vienna Family Practice LLC
Organization Active NPI Family Medicine Physician · Vienna, MO
NPI 1326328295 · NPPES record last updated Aug 24, 2011
Key facts
- NPI
- 1326328295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- VIENNA FAMILY PRACTICE LLC
- Practice address
- 111 Parkway
Vienna, MO 65582-8003 - Phone
- (573) 422-3360
- Fax
- (573) 422-3391
- NPI assigned
- Aug 24, 2011
- Organization subpart
- No
Authorized official
- Name
- Keith Edward Segall, DO
- Title
- Sole Member
- Phone
- (573) 422-3360
National Provider Directory
Locations
111 Parkway
Vienna, MO 65582
Phone (573) 422-3360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
111 Parkway
Vienna, MO 65582-8003
Mailing address
111 Parkway
Vienna, MO 65582-8003
Phone (573) 422-3360
Other providers in Vienna, MO
- Abbi Plummer
- Cortney Powell
- Quick Development Inc
- Michelle Lynn Swyers
- Venus Independent Living LLC
- Vienna Family Practice LLC
- Vienna Health Care
- Vienna Nursing & Rehab LLC
All providers in Vienna, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.