Organization
PRIMROSE NEPHROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C MAY MD (PRESIDENT)
(417) 823-2900
Entity
Organization
Contact information
Practice address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Mailing address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MO112417
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500967807
—
MO
Enumeration date
02/22/2007
Last updated
01/28/2020
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