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Individual

DR. ROSS MCCORD BLACKSHEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6863
Mailing address
449 S OAKS DR, SPRINGFIELD, MO 65809-1101
(417) 860-5549

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2022026374
MO

Other

Enumeration date
04/05/2018
Last updated
07/15/2022
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