Southwest Missouri Infectious Disease Llc | |
2872 S Forrest Heights Ave Springfield MO 65809-3417 | |
(417) 459-1711 | |
Not Available |
Full Name | Southwest Missouri Infectious Disease Llc |
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Speciality | Internal Medicine - Infectious Disease |
Location | 2872 S Forrest Heights Ave, Springfield, Missouri |
Authorized Official Name and Position | Eric Jerome Fulnecky (OWNER) |
Authorized Official Contact | 4174591711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southwest Missouri Infectious Disease Llc 2872 S Forrest Heights Ave Springfield MO 65809-3417 Ph: (417) 459-1711 | Southwest Missouri Infectious Disease Llc 2872 S Forrest Heights Ave Springfield MO 65809-3417 Ph: (417) 459-1711 |
NPI Number | 1396284303 |
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Provider Enumeration Date | 02/23/2017 |
Last Update Date | 02/23/2017 |
Identifier | Type | State | Issuer |
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1396284303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | 2004006990 (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 | |