Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
Monett Milne Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P. TAYLOR (VICE PRESIDENT)
(417) 269-6262
Entity
Organization
Contact information
Practice address
801 N LINCOLN AVE, MONETT, MO 65708-1641
(417) 269-5536
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-7834
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505700500
—
MO
Enumeration date
01/03/2007
Last updated
06/20/2008
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