| Organization Name: | MISSOURI MENNONITE CLINIC |
| NPI Number: | 1326407800 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBYN MCHUGH (MIDWIFE) |
| Mailing Address: | 14093 Hopewell Rd Versailles |
| State: | MO US |
| Postal Code: | 650844459 |
| Phone Number: | 5733785295 |
| Fax Number: | 5733785292 |
| NPI Enumeration Date: | 02/12/2016 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |