RIVERSIDE FAMILY PRACTICE, PC
Osteopathic Medicine at Blattner Dr, Cape Girardeau, MO

License number
Missouri 32836
Category
Osteopathic Medicine
Type
Family Medicine
License number
Missouri 2000160642
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Missouri 2000160642
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: DR. JAMES E PALEN M.D.
Title: OWNER
Phone: (573) 335-0166
Address
Address
3129 Blattner Dr, Cape Girardeau, MO 63703
National Provider ID: 1245286210
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RIVERSIDE FAMILY PRACTICE, PC

3129 Blattner Dr, Cape Girardeau, MO 63703

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jan 17, 1997
Phone:
(573) 335-0166 (Phone)
State ID:
P00436104
Business type:
Professional Corporation
Expiration:
Perpetual
Manager, Office Managers:
James Palen (Chief Executive Officer, Family Practitioner, Medical Doctor, Owner),Jay R. Palen (Family Practitioner),Kimberly Brune (Nurse Practitioner),...
Agent:
James E. Palen, M.c,3129 Blattner Dr, Cape Girardeau, MO 63703 (Physical)

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