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Organization

COLLINS EYE CLINIC, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANN R EDELSTEIN (PRACTICE MANAGER)
(417) 869-3200
Entity
Organization

Contact information

Practice address
1342 E PRIMROSE ST, SUITE B, SPRINGFIELD, MO 65804-4279
(417) 869-3200
(417) 869-3212
Mailing address
1342 E PRIMROSE ST, SUITE B, SPRINGFIELD, MO 65804-4279
(417) 869-3200
(417) 869-3212

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
114662
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
169437002
AR
05
203814702
MO
Enumeration date
08/17/2006
Last updated
02/03/2020
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