Organization
SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.
Active
Other names
Springfield Neurological Institute, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT MARK CRABTREE MD (DIRECTOR)
(417) 885-3888
Entity
Organization
Contact information
Practice address
3801 S NATIONAL AVE STE 700, SPRINGFIELD, MO 65807-5210
(417) 885-3888
Mailing address
PO BOX 4024, SPRINGFIELD, MO 65808-4024
(417) 885-3888
(417) 881-7638
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201383
DEPARTMENT OF LABOR WA
WA
01
—
141320300
DEPARTMENT OF LABOR OWCP
KS
05
—
143549002
—
AR
01
—
37110
ENCOMPASS
MO
05
—
502277007
—
MO
01
—
5C687
ARKANSAS BC- BS
AR
01
—
9012802
MO DEPT OF HEALTH
MO
Enumeration date
05/19/2006
Last updated
05/19/2023
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