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Organization

PUTNAM ORTHOPAEDIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN LESLIE PUTNAM MD (OWNER)
(417) 447-1000
Entity
Organization

Contact information

Practice address
4350 S NATIONAL AVE, SUITE C200, SPRINGFIELD, MO 65810-2607
(417) 447-1000
(417) 447-6150
Mailing address
4350 S NATIONAL AVE, SUITE C200, SPRINGFIELD, MO 65810-2607
(417) 447-1000
(417) 447-6150

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary

Other

Enumeration date
02/16/2007
Last updated
12/06/2012
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