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Organization

OZARKS MEDICAL CENTER

Active
Other names
Ozarks Medical Center Nephrology Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS W KELLER (PRESIDENT AND CEO)
(417) 256-9111
Entity
Organization

Contact information

Practice address
3000 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4239
(417) 256-1731
(417) 256-1733
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
03/30/2011
Last updated
02/18/2014
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