Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
MT VERNON FAMILY HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization
Contact information
Practice address
624 E MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-9100
(417) 269-2460
(417) 269-2462
Mailing address
3800 S NATIONAL AVE, STE 540, SPRINGFIELD, MO 65807-5209
(417) 269-5712
(417) 269-4869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508603909
—
MO
Enumeration date
04/23/2008
Last updated
04/23/2008
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