Organization
PEDIATRIX MEDICAL GROUP OF SPRINGFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSOLACION SISON-SWITALA M.D. (NEONATOLOGY)
(417) 820-3219
Entity
Organization
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-3219
Mailing address
5165 S STONE CIR, SPRINGFIELD, MO 65810-1636
(417) 885-3839
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
1999143043
MO
Other
Enumeration date
05/01/2006
Last updated
08/22/2020
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