Whalio Doctors

NPI 1972704815

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Organisation Voluntary or Charitable Agency Springfield, MO

Practice location

Address
514 N West Bypass, Springfield, MO 65802
Phone
(417) 429-2180
Fax
(417) 832-9799

Authorised official

Name
Kevin W Louderback
Title
Manager
Phone
(417) 429-2180

Registered specialties (5)

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X
Naturopath
Other Service Providers Taxonomy 175F00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence RIF83 (MO)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence R1200 (MO)

Registry record

NPI
1972704815
Entity type
Organization
NPI issued
29 May 2007
Record last updated
5 Feb 2009

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.