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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