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 |
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 | |