Organization
REGIONAL SERVICES
Active
Other names
COXHEALTH CENTER ELFINDALE
Organization subpart
No
Provider details
NPI number
Authorized official
MAX BUETOW (VICE PRESIDENT)
(417) 631-0381
Entity
Organization
Contact information
Practice address
1429 W SUNSHINE ST, SPRINGFIELD, MO 65807-2346
(417) 269-2240
(417) 269-2245
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506849603
—
MO
Enumeration date
11/20/2006
Last updated
03/14/2017
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