Individual
DR. TERESA J HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 W COLLEGE ST STE 100, SPRINGFIELD, MO 65806-1250
(417) 633-7020
(417) 633-7024
Mailing address
420 W COLLEGE ST STE 100, SPRINGFIELD, MO 65806-1250
(417) 633-7020
(417) 633-7024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108448
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114251
BLUE CROSS OF MO
—
05
—
209784503
—
MO
Enumeration date
09/20/2006
Last updated
05/26/2023
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