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1255405023
SCOTT R. MOOSE
NIXA, MO
NPI
1255405023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 113804)
Enumeration Date
2006-11-20
Last Update Date
2013-05-09
Business Address
Dr. SCOTT R. MOOSE MD
940 W MOUNT VERNON ST
NIXA, MO 65714-9609
Phone number: 417-724-5200
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Mailing Address
Dr. SCOTT R. MOOSE MD
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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