Whalio Doctors

NPI 1386257780

Eustasis Foundation, INC

Organisation Voluntary or Charitable Agency Springfield, MO

Practice location

Address
3100 S National Ave STE 103, Springfield, MO 65807-7347
Phone
(417) 427-6103
Fax
(417) 350-1935
Mailing address
3600 S National Ave, Springfield, MO 65807-7311

Authorised official

Name
Alisha Breanna Jain
Title
President
Phone
(417) 322-6622

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X

Registry record

NPI
1386257780
Entity type
Organization
NPI issued
25 Aug 2020
Record last updated
25 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.