# BIG TREE MEDICAL NEOSHO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mitchell's Health and Wellness Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922832666
- **Authorized official:** LACY EPPERSON (CLINIC MANAGER)
- **Authorized official phone:** (417) 451-9301

## Contact information

- **Practice address:** 719 S NEOSHO BLVD, NEOSHO, MO 64850-2051
- **Practice address phone:** (417) 451-9301
- **Mailing address:** 719 S NEOSHO BLVD, NEOSHO, MO 64850-2051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2024
- **Last updated:** 08/27/2024