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Organization

HNI MEDICAL SERVICES OF MISSOURI, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD PEW (VICE PRESIDENT OF OPERATIONS)
(512) 730-3060
Entity
Organization

Contact information

Practice address
1630 E PRIMROSE ST, SPRINGFIELD, MO 65804-7929
(717) 972-1100
Mailing address
30575 BAINBRIDGE RD, SOLON, OH 44139-2221
(440) 542-5000
(440) 542-5005

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
07/15/2021
Last updated
04/29/2025
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