Organization
REGIONAL SERVICES
Active
Organization
REGIONAL SERVICES
Active
Other names
Monett Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization
Contact information
Practice address
700 E CLEVELAND AVE, MONETT, MO 65708-1436
(417) 354-1520
(417) 354-1525
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-7834
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216930
BLUE CROSS
—
Enumeration date
11/20/2006
Last updated
11/26/2007
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