Organization
MIDWEST INFUSION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY LEE SUTTON (BUSINESS MANAGER)
(417) 881-4994
Entity
Organization
Contact information
Practice address
1730 E REPUBLIC RD, SUITE K, SPRINGFIELD, MO 65804-6549
(417) 881-4994
(417) 881-4998
Mailing address
1730 E REPUBLIC RD, SUITE K, SPRINGFIELD, MO 65804-6549
(417) 881-4994
(417) 881-4998
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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