Organization
SPORTS PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA COMPTON (VICE PRESIDENT)
(417) 667-4620
Entity
Organization
Contact information
Practice address
127 S MAIN ST, NEVADA, MO 64772-3363
(417) 667-4620
Mailing address
127 S MAIN ST, NEVADA, MO 64772-3363
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
R1J25
MO
Other
Enumeration date
01/31/2008
Last updated
02/04/2008
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