| |
506 E South St Evans Plaza Ozark MO 65721-8571 | |
(417) 269-2215 | |
(417) 269-2427 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 506 E South St, Ozark, 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 |
---|---|
3800 S National Ave #540 Springfield MO 65807-5209 Ph: (417) 269-6262 | 506 E South St Evans Plaza Ozark MO 65721-8571 Ph: (417) 269-2215 |
NPI Number | 1942392949 |
---|---|
Provider Enumeration Date | 09/28/2006 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942392949 | NPI | - | NPPES |
500020805 | Medicaid | MO | |
197575 | Other | BLUE CROSS OF MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ozark Family Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5528 N Farmer Branch Rd, Ozark, MO 65721 Phone: 417-581-6411 Fax: 417-581-6412 | |
Randall E Halley Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 W Hall St, Ozark, MO 65721 Phone: 417-753-9404 | |