Organization
CAVERO MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO CAVERO MD (OFFICER)
(417) 631-2303
Entity
Organization
Contact information
Practice address
1514 W LARK ST, SPRINGFIELD, MO 65810-2262
(417) 631-2303
(417) 890-4677
Mailing address
1514 W LARK ST, SPRINGFIELD, MO 65810-2262
(417) 631-2303
(417) 890-4677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101935
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101935
MEDICAL LICENSE
MO
05
—
203445101
—
MO
Enumeration date
06/03/2009
Last updated
05/22/2015
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