Organization
SKAGGS COMMUNITY HOSPTIAL ASSOCIATION
Active
Other names
Tri-Lakes Internal Medicine & Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M ERIXON (CEO)
(417) 335-7350
Entity
Organization
Contact information
Practice address
101 SKAGGS RD, MEDICAL PLAZA 1 STE 403, BRANSON, MO 65616
(417) 348-8105
(417) 348-8107
Mailing address
101 SKAGGS RD, MEDICAL PLAZA 1 STE 403, BRANSON, MO 65616
(417) 348-8105
(417) 348-8107
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI2096
RAILROAD MEDICARE
—
Enumeration date
07/01/2006
Last updated
02/28/2008
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