Organization
ORTHOPAEDIC ASC OF SPRINGFIELD LLC
Active
Other names
Springfield Surgical Specialist ASC
Organization subpart
No
Provider details
NPI number
Authorized official
JANE MALONE RN (DIRECTOR OF CLINICAL SERVICES)
(417) 447-3910
Entity
Organization
Contact information
Practice address
3045 S NATIONAL AVE, SUITE 101, SPRINGFIELD, MO 65804-4247
(417) 447-3910
(417) 882-5716
Mailing address
3045 S NATIONAL AVE, SUITE 101, SPRINGFIELD, MO 65804-4247
(417) 447-3910
(447) 882-5716
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
190-0
MO
Other
Enumeration date
11/30/2005
Last updated
12/17/2007
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