Organization
REGIONAL SERVICES
Active
Organization
REGIONAL SERVICES
Active
Other names
The Clinic at Walmart operated by CoxHealth Store #101
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P. TAYLOR (VICE PRESIDENT)
(417) 269-4320
Entity
Organization
Contact information
Practice address
500 S BISHOP AVE, ROLLA, MO 65401-4313
(417) 269-4420
(417) 269-4869
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-4869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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