Individual provider · NPI-1

Dr. Marc Alumno, MD

Family Medicine · Springfield, MO

NPI number1396301040
StatusActive
Last updated in NPPESAug 24, 2023

Details

NPI
1396301040
Entity type
Individual (NPI-1)
Name
Dr. Marc Alumno
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 17, 2019
Certification date
Aug 24, 2023
Last updated
Aug 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2023017492MOYes
207Q00000X Family MedicineR-11458IA
207Q00000X Family Medicine036161447IL

Practice location

2716 W Republic Rd
Springfield, MO 65807-3901

Phone 417-881-8812

Mailing address

2716 W Republic Rd
Springfield, MO 65807-3901

Phone 417-881-8812

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