Organization
ORION HEALTHCARE MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUKE C NAIPOHN (CEO/PRESIDENT)
(316) 683-2323
Entity
Organization
Contact information
Practice address
2740 N MAYFAIR AVE, SPRINGFIELD, MO 65803-5084
(417) 521-3925
(417) 521-6860
Mailing address
1841 N ROCK ROAD CT STE 100, WICHITA, KS 67206-4202
(316) 683-2323
(316) 683-1778
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
LC0965475
MO
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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