NPI 1811061039

Regional Services

Organisation Physical Medicine & Rehabilitation Physician Springfield, MO

Practice location

Address: 3555 S National Ave #302, Springfield, MO 65807-7310
Phone: (417) 269-6868
Fax: (417) 269-6865
Mailing address: PO Box 4046, Springfield, MO 65808-4046

Authorised official

Name: David P Taylor
Title: Vice President
Phone: (417) 269-6262

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Missouri →

Registry record

NPI: 1811061039
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 10 Apr 2008

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.