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3850 S National Ave #700 Springfield MO 65807-5287 | |
(417) 269-0700 | |
(417) 269-0709 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3850 S National Ave, 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 |
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3800 S National Ave #540 Springfield MO 65807-5209 Ph: (417) 269-6262 | 3850 S National Ave #700 Springfield MO 65807-5287 Ph: (417) 269-0700 |
NPI Number | 1982641262 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 06/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982641262 | NPI | - | NPPES |
500856307 | Medicaid | MO | |
206392 | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (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 | |