Organization
OZARKS MEDICAL CENTER
Active
Organization
OZARKS MEDICAL CENTER
Active
Other names
Ozarks Healthcare Orthopedics and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W KELLER (PRESIDENT AND CEO)
(417) 256-9111
Entity
Organization
Contact information
Practice address
1210 N KENTUCKY AVE, WEST PLAINS, MO 65775-2030
(417) 256-1745
Mailing address
1210 N KENTUCKY AVE, WEST PLAINS, MO 65775-2030
(417) 256-1745
(417) 256-1746
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187743002
—
AR
05
—
193200000X
—
MO
Enumeration date
03/29/2011
Last updated
11/13/2020
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