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2900 S National Ave Springfield MO 65804-3634 | |
(417) 269-9530 | |
(417) 269-9539 |
Full Name | |
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Speciality | Family Medicine |
Location | 2900 S National Ave, Springfield, Missouri |
Authorized Official Name and Position | Brock Shamel (VICE PRESIDENT) |
Authorized Official Contact | 4172694368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 802843 Kansas City MO 64180-2843 Ph: (417) 730-6430 | 2900 S National Ave Springfield MO 65804-3634 Ph: (417) 269-9530 |
NPI Number | 1174067631 |
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Provider Enumeration Date | 12/16/2016 |
Last Update Date | 05/19/2021 |
Identifier | Type | State | Issuer |
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1174067631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family 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 | |