Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
Cox Health Center Shell Knob
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P. TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization
Contact information
Practice address
25376 STATE HWY 39, SUITE 301, SHELL KNOB, MO 65747
(417) 269-2470
(417) 858-6910
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5209
(417) 269-5712
(417) 269-4869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
595829706
—
MO
Enumeration date
09/28/2006
Last updated
06/10/2009
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