| Chesterfield Family Clinic | |
|
1925 W Chesterfield Blvd Springfield MO 65807-8686 | |
| (417) 269-6262 | |
| (417) 269-0279 |
| Full Name | Chesterfield Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1925 W Chesterfield Blvd, Springfield, Missouri |
| Authorized Official Name and Position | David P Taylor (VICE PRESIDENT) |
| Authorized Official Contact | 4172696262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesterfield Family Clinic 3800 S National Ave #540 Springfield MO 65807-5209 Ph: (417) 269-6262 | Chesterfield Family Clinic 1925 W Chesterfield Blvd Springfield MO 65807-8686 Ph: (417) 269-6262 |
| NPI Number | 1760572416 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760572416 | NPI | - | NPPES |
| 100352 | Other | BLUE CROSS OF MO | |
| 506116508 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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