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700 Giesler Rd Osceola MO 64776-6279 | |
(417) 875-3000 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 700 Giesler Rd, Osceola, Missouri |
Authorized Official Name and Position | Robert L Ferguson (VICE PRESIDENT) |
Authorized Official Contact | 4178753311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 9007 Springfield MO 65808-9007 Ph: (417) 875-3000 | 700 Giesler Rd Osceola MO 64776-6279 Ph: (417) 875-3000 |
NPI Number | 1578896346 |
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Provider Enumeration Date | 09/11/2009 |
Last Update Date | 03/12/2020 |
Identifier | Type | State | Issuer |
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1578896346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |