Organization · NPI-2

Adult Medicine Of The Ozarks, LLC

Internal Medicine · Springfield, MO

NPI number1790178622
StatusActive
Last updated in NPPESMar 17, 2015

Details

NPI
1790178622
Entity type
Organization (NPI-2)
Legal business name
Adult Medicine Of The Ozarks, LLC
Organization subpart
No
Enumeration date
Mar 17, 2015
Last updated
Mar 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

1630 E Primrose St
Springfield, MO 65804-7929

Phone 417-863-8015

Mailing address

1103 S Weller Ave
Springfield, MO 65804-0159

Phone 417-863-8015

Authorized official

Paul E Andrews
Owner
4178638015

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