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1530 E Republic Rd Springfield MO 65804-6530 | |
(417) 269-1362 | |
(417) 269-1372 |
Full Name | |
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Speciality | Family Medicine |
Location | 1530 E Republic Rd, Springfield, Missouri |
Authorized Official Name and Position | David P. Taylor (VICE PRESIDENT) |
Authorized Official Contact | 4172696262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3800 S National Ave #540 Springfield MO 65807-5209 Ph: (417) 269-6262 | 1530 E Republic Rd Springfield MO 65804-6530 Ph: (417) 269-1362 |
NPI Number | 1598709693 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 11/06/2012 |
Identifier | Type | State | Issuer |
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1598709693 | NPI | - | NPPES |
507975704 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | 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 | |