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Organization

REGIONAL SERVICES

Active
Other names
THE CLINIC AT WALMART OPERATED BY COXHEALTH STORE #86
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID P. TAYLOR (VICE PRESIDENT)
(417) 269-4320
Entity
Organization

Contact information

Practice address
2825 N. KANSAS EXPRESSWAY, SPRINGFIELD, MO 65803-1017
(417) 868-7026
(417) 868-7033
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-4869

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
05/02/2011
Last updated
05/02/2011
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