RETIRED is a medical specialty clinic center in Hallsville, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). RETIRED NPI is 1962818435. The provider is registered as an organization entity type.
The provider's business location address is:
13714 N SPORTSMANS DR
HALLSVILLE, MO
ZIP 65255-330
Phone: (573) 696-2391
The provider's authorized official is Herb Bastow .
The authorized official title is Urologist and has the following contact phone number (573) 696-2391.
The enumeration date for this NPI number is 7/6/2014 and was last updated on 7/6/2014.