Organization
REGIONAL SERVICES
Active
Other names
The Clinic at Walmart Operated by Cox Health Store #444
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P. TAYLOR (VICE PRESIDENT)
(417) 269-4320
Entity
Organization
Contact information
Practice address
3315 S CAMPBELL AVE, SPRINGFIELD, MO 65807-4914
(417) 269-4420
(417) 269-4349
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-4869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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