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Organization
MISSOURI STATE UNIVERSITY PT CLINIC
Active
Organization
MISSOURI STATE UNIVERSITY PT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VERE HALLIDAY PT (CLINIC DIRECTOR)
(417) 836-3070
Entity
Organization
Contact information
Practice address
606 E CHERRY ST, ROOM 100, SPRINGFIELD, MO 65806-3401
(417) 836-3070
Mailing address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(417) 836-3070
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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