Richard M Secor Jr.
EASTERN MISSOURI GENERAL SERVICES INC


Address: 322 N State St, Desloge, MO 63601-3052
Phone: 5734314510

Richard M Secor Jr. (NPI# 1326104142, PAC ID# 7113941352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1326104142
PAC ID by PECOS 7113941352
Professional Enrollment ID I20060116000017
Full Name Richard M Secor Jr.
Organization Legal Name EASTERN MISSOURI GENERAL SERVICES INC
Address 322 N State St
Desloge
MO 63601-3052
Phone Number 5734314510
Gender M
Credential DO
Medical School THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE
Graduation Year 1980
Primary Specialty FAMILY PRACTICE
Secondary Specialties EMERGENCY MEDICINE
Group Practice PAC ID 2163615006
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
261308 WASHINGTON COUNTY MEMORIAL HOSPITAL
261315 PARKLAND HEALTH CENTER - BONNE TERRE
260163 PARKLAND HEALTH CENTER
260176 DES PERES HOSPITAL
260023 MERCY HOSPITAL JEFFERSON

Other Locations

Address Phone Organization
322 N State St, Desloge, MO 63601-3052 5734314510 EASTERN MISSOURI GENERAL SERVICES INC
300 Health Way Dr, Potosi, MO 63664-1420 5734385451355 WASHINGTON COUNTY MEMORIAL HOSPITAL

Organization Information

Organization Legal Name EASTERN MISSOURI GENERAL SERVICES INC
Physicians 1

Office Location

Street Address 322 N STATE ST
City DESLOGE
State MO
Zip 63601-3052

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Name Specialty Organization Address
Brenna Maria C Keller Infectious Disease 1025 W Main St, St Francois County Infectious Disease, Park Hills, MO 63601-2079
Mary F Dahmm Nurse Practitioner 5272 Flat River Dr, Park Hills, MO 63601-2224
Daniel L Young Chiropractic 8 E Main St, Park Hills, MO 63601-2633
Shawn M Haferkamp Optometry 1133 N Desloge Dr, Desloge, MO 63601-2936
Jeffery Linn Huck Chiropractic 1110 N Desloge Dr, Desloge, MO 63601-2937
Karen S Ferrell Clinical Social Worker 330 N State St, Suite A, Desloge, MO 63601-3041
Alicia R Whitwell Nurse Practitioner Quality Health Care, Inc 330 N State St C, Desloge, MO 63601-3041
Debbie Ann Anderson Nurse Practitioner Quality Health Care, Inc 330 N State St C, Desloge, MO 63601-3041
Kimberly A Yeager Nurse Practitioner Quality Health Care, Inc 330 N State St C, Desloge, MO 63601-3041
Laurence Lum Family Medicine Quality Health Care, Inc 330 N State St C, Desloge, MO 63601-3041
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Competitor

Search similar physicians

City DESLOGE
Zip Code 63601
Specialty FAMILY PRACTICE
City + Specialty DESLOGE + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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