Organization
SPRINGFIELD PHYSICAL MEDICINE AND REHABILITATION, INC
Active
Organization
SPRINGFIELD PHYSICAL MEDICINE AND REHABILITATION, INC
Active
Other names
Springfield Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C MAULDIN JR. M.D. (PRESIDENT)
(417) 864-4100
Entity
Organization
Contact information
Practice address
1308 N GLENSTONE AVE, SPRINGFIELD, MO 65802-2130
(417) 864-4100
(417) 863-8697
Mailing address
1308 N GLENSTONE AVE, SPRINGFIELD, MO 65802-2130
(417) 864-4100
(417) 863-8697
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
08/24/2005
Last updated
09/27/2007
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