Organization
LESTER E. COX MEDICAL CENTERS
Active
Other names
PEDIATRIC NEUROLOGY OF THE OZARKS
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization
Contact information
Practice address
1000 E PRIMROSE ST, SUITE 200, SPRINGFIELD, MO 65807-5154
(417) 269-1010
(417) 269-6755
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5209
(417) 269-6262
(417) 269-4349
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201479
BLUE CROSS OF MO
—
05
—
500034004
—
MO
Enumeration date
10/13/2006
Last updated
06/20/2008
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