Spurling And White Llc | |
100 W. 17th Street Ste D Mountain Grove MO 65711 | |
(417) 255-8645 | |
(417) 255-8649 |
Full Name | Spurling And White Llc |
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Speciality | Family Medicine |
Location | 100 W. 17th Street, Mountain Grove, Missouri |
Authorized Official Name and Position | Jason K Spurling (OWNER) |
Authorized Official Contact | 4172558645 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Spurling And White Llc 1307 Porter Wagoner Blvd. West Plains MO 65775 Ph: (417) 255-8645 | Spurling And White Llc 100 W. 17th Street Ste D Mountain Grove MO 65711 Ph: (417) 255-8645 |
NPI Number | 1912476300 |
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Provider Enumeration Date | 11/15/2018 |
Last Update Date | 11/15/2018 |
Medicare PECOS PAC ID | 2365788213 |
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Medicare Enrollment ID | O20190114001594 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912476300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Jason K Spurling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770661704 PECOS PAC ID: 6204892953 Enrollment ID: I20041206000155 |
Provider Name | Sheena K White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881000198 PECOS PAC ID: 8022237494 Enrollment ID: I20140917000623 |
Provider Name | Michaela Carolyn Stewart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548005671 PECOS PAC ID: 2466990205 Enrollment ID: I20240812003343 |
Mountain Grove Medical And Laser Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Busch Ave, Mountain Grove, MO 65711 Phone: 417-926-6643 Fax: 417-926-6317 | |