Individual
DR. LINDA R. MACGORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2178 S CATALINA AVE, SPRINGFIELD, MO 65804-2849
(417) 882-1275
Mailing address
2178 S CATALINA AVE, SPRINGFIELD, MO 65804-2849
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
107431
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207844200
—
MO
Enumeration date
06/20/2005
Last updated
03/21/2025
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