Organization
MICHAEL SHURLEY O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SHURLEY O.D. (PRESIDENT)
(417) 451-2378
Entity
Organization
Contact information
Practice address
426 W COLER ST, NEOSHO, MO 64850-1441
(417) 451-2378
(417) 451-4484
Mailing address
426 W COLER ST, NEOSHO, MO 64850-1441
(417) 451-2378
(417) 451-4484
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
T02772
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312558703
—
MO
Enumeration date
12/17/2007
Last updated
05/21/2009
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