Individual
JOHN CHARLES MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE, WEST TOWER, SUITE 700, SPRINGFIELD, MO 65807-5210
(417) 885-3888
(417) 881-7638
Mailing address
PO BOX 9434, SPRINGFIELD, MO 65801-9434
(417) 885-3888
(417) 881-7638
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
118061
MO
207T00000X
Neurological Surgery Physician
E3602
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156395001
CIGNA HEALTHCARE
MO
01
—
0215049
DEPARTMENT OF LABOR WA
WA
01
—
04040017000
QUAL CHOICE
MO
01
—
0602002
UNITED HEALTHCARE
MO
01
—
119340
BLUE CROSS/CHOICE
MO
05
—
139629001
—
AR
01
—
18942
COX HEALTH PLANS
MO
05
—
203985700
—
MO
01
—
412307
HEALTHLINK
MO
01
—
4188130001
CIGNA MEDICARE
MO
01
—
5M988
ARKANSAS BC/BS
AR
01
—
7623
COX HEALTH PLANS UPI
MO
01
—
G93208
USPS (W/C)
MO
Enumeration date
05/22/2006
Last updated
09/30/2021
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