# LESTER E. COX MEDICAL CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHWEST SPINE & SPORTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033291125
- **Authorized official:** DAVID P TAYLOR (VICE PRESIDENT)
- **Authorized official phone:** (417) 269-6262

## Contact information

- **Practice address:** 3555 S NATIONAL AVE, \#302, SPRINGFIELD, MO 65807-7310
- **Practice address phone:** (417) 269-6868
- **Practice address fax:** (417) 269-6865
- **Mailing address:** 3800 S NATIONAL AVE, \#540, SPRINGFIELD, MO 65807-5209
- **Mailing address phone:** (417) 269-6262
- **Mailing address fax:** (417) 269-4349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 06/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 146825 | BLUE CROSS OF MO | — |
| 05 | — | 508089703 | — | MO |