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1630 E Primrose St Springfield MO 65804-7929 | |
(417) 885-4700 | |
(417) 885-4777 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1630 E Primrose St, Springfield, Missouri |
Authorized Official Name and Position | Shahbaz A Riaz (CEO) |
Authorized Official Contact | 3124983792 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10 Kays Point Ct Lake Ozark MO 65049-4729 Ph: (312) 498-3792 | 1630 E Primrose St Springfield MO 65804-7929 Ph: (417) 885-4700 |
NPI Number | 1427560309 |
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Provider Enumeration Date | 10/31/2017 |
Last Update Date | 10/31/2017 |
Identifier | Type | State | Issuer |
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1427560309 | NPI | - | NPPES |
2008022457 | Other | MO | STATE LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2008022457 (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 | |