Organization
SELECT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN ERICK KAUFMAN M.D. (PRINCIPAL)
(417) 224-4990
Entity
Organization
Contact information
Practice address
1630 E PRIMROSE ST, SPRINGFIELD, MO 65804-7929
(417) 885-4700
Mailing address
1491 S RANCH DR, SPRINGFIELD, MO 65809-2235
(417) 224-4990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
115794
MO
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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