| Select Medical Group Llc | |
|
1630 E Primrose St Springfield MO 65804-7929 | |
| (417) 885-4700 | |
| Not Available |
| Full Name | Select Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1630 E Primrose St, Springfield, Missouri |
| Authorized Official Name and Position | Christian Erick Kaufman (PRINCIPAL) |
| Authorized Official Contact | 4172244990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Medical Group Llc 1491 S Ranch Dr Springfield MO 65809-2235 Ph: (417) 224-4990 | Select Medical Group Llc 1630 E Primrose St Springfield MO 65804-7929 Ph: (417) 885-4700 |
| NPI Number | 1740508183 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740508183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 115794 (Missouri) | Primary |
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