Organization
REGIONAL SERVICES
Active
Organization
REGIONAL SERVICES
Active
Other names
Milne-Scanlon Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization
Contact information
Practice address
3800 S NATIONAL AVE, #730, SPRINGFIELD, MO 65807-5209
(417) 269-5536
(417) 269-5586
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-7834
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500692504
—
MO
Enumeration date
11/20/2006
Last updated
08/07/2009
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