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3827 S Timbercreek Ave Suite B Springfield MO 65807-5685 | |
(417) 861-0071 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 3827 S Timbercreek Ave, Springfield, Missouri |
Authorized Official Name and Position | Tammy Rose Cowan (OWNER) |
Authorized Official Contact | 4178610071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3827 S Timbercreek Ave Suite B Springfield MO 65807-5685 Ph: (417) 861-0071 | 3827 S Timbercreek Ave Suite B Springfield MO 65807-5685 Ph: (417) 861-0071 |
NPI Number | 1114231305 |
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Provider Enumeration Date | 07/30/2010 |
Last Update Date | 06/30/2014 |
Identifier | Type | State | Issuer |
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1114231305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | LC1048492 (Missouri) | Primary |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |