Graduated: 2024
NPI: 1811712623
Practice Locations (2)
CITIZENS MEMORIAL HEALTHCARE
1500 N OAKLAND AVE, CMH DIABETES
BOLIVAR, MO 656133099
4173286040
CENTRAL CARE PA
1501 N OAKLAND AVE
BOLIVAR, MO 656133020
4173267200
Source: CMS National Downloadable File, September 2026.