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Organization

REGIONAL SERVICES

Active
Other names
Monett Milne-Scanlon Urology Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID P. TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization

Contact information

Practice address
815 NORTH LINCOLN, SUITE E, MONETT, MO 65708-1641
(417) 269-5536
(417) 269-5586
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-4869

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
505700500
MO
Enumeration date
01/03/2007
Last updated
10/27/2010
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