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3805 S Kansas Expy Ste A Springfield MO 65807-6989 | |
(417) 269-6896 | |
(417) 269-1098 |
Full Name | |
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Speciality | Clinic/center |
Location | 3805 S Kansas Expy Ste A, Springfield, Missouri |
Authorized Official Name and Position | Max Buetow (VICE PRESIDENT) |
Authorized Official Contact | 4176310381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 4046 Springfield MO 65808-4046 Ph: (417) 269-5712 | 3805 S Kansas Expy Ste A Springfield MO 65807-6989 Ph: (417) 269-6896 |
NPI Number | 1295892529 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 02/24/2020 |
Identifier | Type | State | Issuer |
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1295892529 | NPI | - | NPPES |
504457201 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | 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 | |