417 HOUSECALLS

Physician Assistant

NPI: 1164016036Organization

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

Contact & Hours

Address: 1335 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Phone: (417) 363-3900

Quick Facts

NPI: 1164016036
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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