| Command Prime, Llc | |
|
2740 N Mayfair Ave Springfield MO 65803-5084 | |
| (417) 521-3925 | |
| Not Available |
| Full Name | Command Prime, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2740 N Mayfair Ave, Springfield, Missouri |
| Authorized Official Name and Position | Luke Aaron Van Kirk (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4176938618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Command Prime, Llc 3238 S National Ave Springfield MO 65807-7303 Ph: (417) 351-2900 | Command Prime, Llc 2740 N Mayfair Ave Springfield MO 65803-5084 Ph: (417) 521-3925 |
| NPI Number | 1164289054 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164289054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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