Organization
417 RHEUMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CADY (MANAGING PARTNER)
(417) 501-2644
Entity
Organization
Contact information
Practice address
909 E REPUBLIC RD STE D200, SPRINGFIELD, MO 65807-6012
(417) 501-2644
Mailing address
909 E REPUBLIC RD STE D200, SPRINGFIELD, MO 65807-6012
(417) 501-2644
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
06/27/2022
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