Organization
AWH OF SPRINGFIELD, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM S MAGILL DO (PRESIDENT)
(417) 886-8898
Entity
Organization
Contact information
Practice address
1536 E PRIMROSE ST, SPRINGFIELD, MO 65804-7928
(417) 886-8898
(417) 886-5775
Mailing address
1536 E PRIMROSE, SPRINGFIELD, MO 65804
(417) 886-8898
(417) 886-5775
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R2J57
MO
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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