| NPI | 1073751442 |
|---|---|
| Doing Business As | THE CLINIC AT WALMART OPERATED BY COXHEALTH STORE # 1009 |
| Doing Business As | REGIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | BROCK P. SHAMEL Vice President 417-269-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2021-06-09 |