Organization
REGIONAL SERVICES
Active
Other names
Regional Services ER Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P. TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-6583
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-6262
(417) 269-4349
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507300200
—
MO
Enumeration date
12/13/2006
Last updated
05/29/2008
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