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1630 N Jefferson Ave Springfield MO 65803-2819 | |
(417) 837-1504 | |
(417) 837-1545 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 1630 N Jefferson Ave, Springfield, Missouri |
Authorized Official Name and Position | Mark Bower (PHYSICIAN, MEDICAL DIRECTOR) |
Authorized Official Contact | 4178371500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Missouri State Department Of Nursing 901 S. National Avenue Springfield MO 65897-0001 Ph: (417) 836-5310 | 1630 N Jefferson Ave Springfield MO 65803-2819 Ph: (417) 837-1504 |
NPI Number | 1477893907 |
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Provider Enumeration Date | 02/20/2013 |
Last Update Date | 02/20/2013 |
Identifier | Type | State | Issuer |
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1477893907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | 2013003462 (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 | |