| Springfield Internal Medicine Group | |
|
1435 E Bradford Pkwy Suite 105 Springfield MO 65804-6563 | |
| (417) 881-4994 | |
| (417) 881-4998 |
| Full Name | Springfield Internal Medicine Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1435 E Bradford Pkwy, Springfield, Missouri |
| Authorized Official Name and Position | Keri Sutton (OWNER / NURSE PRACTITIONER) |
| Authorized Official Contact | 4178814994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Internal Medicine Group 1435 E Bradford Pkwy Suite 105 Springfield MO 65804-6563 Ph: (417) 881-4994 | Springfield Internal Medicine Group 1435 E Bradford Pkwy Suite 105 Springfield MO 65804-6563 Ph: (417) 881-4994 |
| NPI Number | 1508157140 |
|---|---|
| Provider Enumeration Date | 05/01/2011 |
| Last Update Date | 11/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508157140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 116600 (Missouri) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 2010006173 (Missouri) | Secondary |
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