Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
Regional Services, The Clinic at Walmart Operated by CoxHealth Store # 1009
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK P. SHAMEL (VICE PRESIDENT)
(417) 269-4368
Entity
Organization
Contact information
Practice address
1150 US HIGHWAY 60 E, REPUBLIC, MO 65738-1580
(417) 269-4420
(417) 269-9434
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
06/09/2021
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