Organization
REGIONAL SERVICES
Active
Other names
COXHEALTH SCHOOL BASED TELEMEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MAX BUETOW (VICE PRESIDENT)
(417) 631-0381
Entity
Organization
Contact information
Practice address
54 MEDICAL SPRINGS RD, GALENA, MO 65656-8386
(417) 357-6377
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
01/30/2020
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