Iron Bridge Diabetes & Endo | |
1135 E Lakewood St Suite 104 Springfield MO 65810-2403 | |
(417) 879-6364 | |
(417) 879-6368 |
Full Name | Iron Bridge Diabetes & Endo |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1135 E Lakewood St, Springfield, Missouri |
Authorized Official Name and Position | Ralph J Duda (OWNER) |
Authorized Official Contact | 4178796364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Iron Bridge Diabetes & Endo 1135 E Lakewood St Suite 104 Springfield MO 65810-2403 Ph: (417) 879-6364 | Iron Bridge Diabetes & Endo 1135 E Lakewood St Suite 104 Springfield MO 65810-2403 Ph: (417) 879-6364 |
NPI Number | 1306931423 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 07/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306931423 | NPI | - | NPPES |
16610 | Other | BLUE CROSS BLUE SHIELD | |
460002667 | Other | PTAN | |
P00266673 | Other | MO | RAILROAD MEDICARE PTAN |
000015170 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (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 | |