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3801 S National Ave 9th Floor Springfield MO 65807-5210 | |
(417) 269-5158 | |
(417) 269-4470 |
Full Name | |
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Speciality | Family Medicine |
Location | 3801 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 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | 3801 S National Ave 9th Floor Springfield MO 65807-5210 Ph: (417) 269-5158 |
NPI Number | 1154813244 |
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Provider Enumeration Date | 06/04/2018 |
Last Update Date | 09/27/2024 |
Identifier | Type | State | Issuer |
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1154813244 | 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 | |