Organization
REGIONAL SERVICES
Active
Parent organization
LESTER E. COX MEDICAL CENTERS
Other names
Cox Hyperbaric Medicine and Wound Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LESTER E. COX MEDICAL CENTERS
Authorized official
MAX BUETOW (VICE PRESIDENT)
(417) 631-0381
Entity
Organization
Contact information
Practice address
3525 S NATIONAL AVE, #101, SPRINGFIELD, MO 65807-7310
(417) 269-9950
(417) 269-9959
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
03/14/2017
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