Organization
REPUBLIC FAMILY MEDICAL WALK-IN CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J. BURKE D.O. (OWNER/MEDICAL DIRECTOR)
(417) 890-5550
Entity
Organization
Contact information
Practice address
281 US HIGHWAY 60 W, REPUBLIC, MO 65738-1432
(417) 890-5550
(417) 351-6120
Mailing address
4049 S CAMPBELL AVE, SPRINGFIELD, MO 65807-5303
(417) 890-5550
(417) 889-6898
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
R5B57
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
597353804
—
MO
Enumeration date
01/31/2006
Last updated
03/30/2018
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