Paul W. Iles Inc. | |
2200 E Sunshine St Suite 312 Springfield MO 65804-1819 | |
(417) 881-1580 | |
(417) 881-7004 |
Full Name | Paul W. Iles Inc. |
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Speciality | Clinic/center |
Location | 2200 E Sunshine St, Springfield, Missouri |
Authorized Official Name and Position | Paul W Iles (PSYCHOLOGIST) |
Authorized Official Contact | 4178811580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Paul W. Iles Inc. 2200 E Sunshine St Suite 312 Springfield MO 65804-1819 Ph: (417) 881-1580 | Paul W. Iles Inc. 2200 E Sunshine St Suite 312 Springfield MO 65804-1819 Ph: (417) 881-1580 |
NPI Number | 1518284363 |
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Provider Enumeration Date | 05/03/2010 |
Last Update Date | 05/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518284363 | NPI | - | NPPES |
122501848 | Medicaid | MO | |
122501848 | Other | MO | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1999140683 (Missouri) | 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 | |