Organization
DRS DECKARD AND NEELY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN BECKERS (RECEPTIONIST)
(417) 882-1822
Entity
Organization
Contact information
Practice address
3230 E RIDGEVIEW ST, SPRINGFIELD, MO 65804-4076
(417) 882-1822
(417) 882-7476
Mailing address
3230 E RIDGEVIEW ST, SPRINGFIELD, MO 65804-4076
(417) 882-1822
(417) 882-7476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2003014006
MO
174400000X
Specialist
33472
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000654
MEDICARE PTAN NUMBER
MO
Enumeration date
08/06/2009
Last updated
08/06/2009
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