| Organization Name: | PREMIER FAMILY PHYSICIANS, LC |
| NPI Number: | 1316918949 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEN PHILLIPS (PRESIDENT/PROVIDER) |
| Mailing Address: | 8 Doctors Park Cape Girardeau |
| State: | MO US |
| Postal Code: | 637034928 |
| Phone Number: | 5736511333 |
| Fax Number: | 5736511324 |
| NPI Enumeration Date: | 01/31/2006 |
| NPI Last Update Date: | 12/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |