| |
3525 S National Ave #101 Springfield MO 65807-7310 | |
(417) 269-9950 | |
(417) 269-9959 |
Full Name | |
---|---|
Speciality | Nurse Practitioner |
Location | 3525 S National Ave, 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 |
---|---|
Po Box 4046 Springfield MO 65808-4046 Ph: (417) 269-5712 | 3525 S National Ave #101 Springfield MO 65807-7310 Ph: (417) 269-9950 |
NPI Number | 1174693709 |
---|---|
Provider Enumeration Date | 11/09/2006 |
Last Update Date | 03/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174693709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (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 | |