Organization
SPRINGFIELD INTERNAL MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI SUTTON NP (OWNER / NURSE PRACTITIONER)
(417) 881-4994
Entity
Organization
Contact information
Practice address
1435 E BRADFORD PKWY, SUITE 105, SPRINGFIELD, MO 65804-6563
(417) 881-4994
(417) 881-4998
Mailing address
1435 E BRADFORD PKWY, SUITE 105, SPRINGFIELD, MO 65804-6563
(417) 881-4994
(417) 881-4998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
116600
MO
363LA2200X
Adult Health Nurse Practitioner
2010006173
MO
Other
Enumeration date
05/01/2011
Last updated
11/19/2013
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