Individual
ERIC FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807
(417) 269-6583
(417) 269-6573
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3462
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018010202
MO
207P00000X
Emergency Medicine Physician
61048
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730567165
—
MO
05
—
200056527
—
MO
Enumeration date
05/18/2015
Last updated
04/30/2026
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