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Organization

MINDSMATTERSMD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OSAMEDE EDOKPOLO MD (OWNER/MEDICAL DIRECTOR)
(313) 506-3036
Entity
Organization

Contact information

Practice address
1736 E SUNSHINE ST STE 603, SPRINGFIELD, MO 65804-1333
(844) 476-6600
(417) 356-8078
Mailing address
1736 E SUNSHINE ST STE 603, SPRINGFIELD, MO 65804-1333
(844) 476-6600
(417) 356-8078

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326334459
MO
Enumeration date
04/27/2020
Last updated
12/31/2025
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