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Organization

LESTER E COX MEDICAL CENTERS

Active
Other names
Sun River Orthopaedics, REGIONAL SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
BROCK SHAMEL (VICE PRESIDENT)
(417) 269-4368
Entity
Organization

Contact information

Practice address
5100 N TOWNE CENTRE DR, OZARK, MO 65721-7479
(417) 882-8437
(417) 882-9587
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
504455908
MO
Enumeration date
11/20/2006
Last updated
08/02/2021
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