Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
Regional Services, CoxHealth Neuropsychology Services
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK SHAMEL (VICE PRESIDENT)
(417) 269-4368
Entity
Organization
Contact information
Practice address
3801 S NATIONAL AVE, SUITE 900, SPRINGFIELD, MO 65807-5210
(417) 269-2710
(417) 269-3715
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
04/16/2024
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