Organization
LESTER E. COX MEDICAL CENTERS
Active
Other names
Steeplechase Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P. TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization
Contact information
Practice address
1530 E REPUBLIC RD, SPRINGFIELD, MO 65804-6530
(417) 269-1362
(417) 269-1372
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5209
(417) 269-6262
(417) 269-4349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507975704
—
MO
Enumeration date
06/16/2006
Last updated
11/06/2012
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