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Physicians Family Medicine

Provider NPI: 1245363993

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
3525 S. NATIONAL AVE #101 SPRINGFIELD, MO 65807-7315 US
Tel: 417-269-9950  Fax: 417-269-9959

Business Mailing Address:
Tel: 417-269-9950  Fax: 417-269-9959

NPI Information:
NPI: 1245363993
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Family Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207Q00000X





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