Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
REGIONAL SERVICES, Panther Clinic Operated by CoxHealth
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK SHAMEL (VICE PRESIDENT)
(417) 269-4368
Entity
Organization
Contact information
Practice address
900 N BENTON AVE, SPRINGFIELD, MO 65802-3712
(417) 873-6300
(417) 873-6306
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
04/11/2024
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