Individual
EDDIE L KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1229 E SEMINOLE ST, SUITE 520, SPRINGFIELD, MO 65804-2227
(417) 820-5750
(417) 820-5066
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PENDING
MO
Other
Enumeration date
01/07/2011
Last updated
01/25/2011
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