Organization
DUOCORP ENTERPRISES, LLC
Active
Other names
Innovative Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY J REED D.O. (PRESIDENT)
(417) 882-0215
Entity
Organization
Contact information
Practice address
1525 E REPUBLIC RD, SUITE A115, SPRINGFIELD, MO 65804-6527
(417) 882-0215
Mailing address
5912 S STOCKTON AVE, SPRINGFIELD, MO 65804-7559
(417) 882-0215
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2007006893
MO
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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