| Missouri State University Athletic Medical And Rehabilitation Services | |
|
901 S National Ave Springfield MO 65897-0027 | |
| (417) 836-5461 | |
| (417) 836-6101 |
| Full Name | Missouri State University Athletic Medical And Rehabilitation Services |
|---|---|
| Speciality | Clinic/center |
| Location | 901 S National Ave, Springfield, Missouri |
| Authorized Official Name and Position | James Thomas Penkalski (DIRECTOR) |
| Authorized Official Contact | 4178365461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri State University Athletic Medical And Rehabilitation Services 901 S National Ave Springfield MO 65897-0027 Ph: (417) 836-5461 | Missouri State University Athletic Medical And Rehabilitation Services 901 S National Ave Springfield MO 65897-0027 Ph: (417) 836-5461 |
| NPI Number | 1649341272 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 04/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649341272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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