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1701 S Enterprise Ave Ste. 103 Springfield MO 65804-1855 | |
(417) 429-1320 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1701 S Enterprise Ave, Springfield, Missouri |
Authorized Official Name and Position | Brian L Andrew (SECRETARY) |
Authorized Official Contact | 6365342300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 Ph: (636) 534-2300 | 1701 S Enterprise Ave Ste. 103 Springfield MO 65804-1855 Ph: (417) 429-1320 |
NPI Number | 1639384993 |
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Provider Enumeration Date | 05/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1639384993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (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 | |