Organization
REGIONAL SERVICES
Active
Other names
Southwest Spine & Sports
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization
Contact information
Practice address
3555 S NATIONAL AVE, #302, SPRINGFIELD, MO 65807-7310
(417) 269-6868
(417) 269-6865
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-4869
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
04/10/2008
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