LEVEL 4 MEDICAL PROFESSIONAL CORPORATION is a point of service in Stockton, MO. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. LEVEL 4 MEDICAL PROFESSIONAL CORPORATION NPI is 1861706434. The provider is registered as an organization entity type.
The provider Is Doing Business As Stockton Lake Walkin Clinic.
The provider's business location address is:
913 SOUTH ST
STOCKTON, MO
ZIP 65785-381
Phone: (417) 809-8620
The provider's authorized official is David E Smock .
The authorized official title is Owner and has the following contact phone number (928) 503-4261.
The CLIA number assigned to this NPI record is 26D2009433 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/5/2010 and was last updated on 1/29/2015.