Organization
180 HEALTH LIFESTYLE WELLNESS CENTERS
Active
Other names
180 Health Medical and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MEEK (OWNER)
(417) 887-0340
Entity
Organization
Contact information
Practice address
1936 S GLENSTONE AVE, SPRINGFIELD, MO 65804-2305
(417) 827-0450
Mailing address
1936 S GLENSTONE AVE, SPRINGFIELD, MO 65804-2305
(417) 827-0450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
07/28/2020
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