Individual
DR. TAMARA L. FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
940 W MOUNT VERNON ST, SUITE 220, NIXA, MO 65714-9609
(417) 724-5437
(417) 724-5433
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2000158302
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205017908
—
MO
Enumeration date
11/21/2006
Last updated
12/11/2025
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