Bass Pro Shops Dba Outfitters Health Center | |
2425 E Kearney St Springfield MO 65803-4969 | |
(417) 612-8950 | |
(417) 612-8955 |
Full Name | Bass Pro Shops Dba Outfitters Health Center |
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Speciality | Clinic/center - Multi-specialty |
Location | 2425 E Kearney St, Springfield, Missouri |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bass Pro Shops Dba Outfitters Health Center 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Bass Pro Shops Dba Outfitters Health Center 2425 E Kearney St Springfield MO 65803-4969 Ph: (417) 612-8950 |
NPI Number | 1396404299 |
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Provider Enumeration Date | 12/08/2021 |
Last Update Date | 10/13/2022 |
Identifier | Type | State | Issuer |
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1396404299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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