PREMISE HEALTH OF MISSOURI MEDICAL P C

SPRINGFIELD, MO
NPI1396404299
Doing Business AsBASS PRO SHOPS DBA OUTFITTERS HEALTH CENTER
Entity TypeOrganization
Authorized ContactJONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-12-08
Last Update Date2022-10-13
Business Address
PREMISE HEALTH OF MISSOURI MEDICAL P C
2425 E KEARNEY ST
SPRINGFIELD, MO 65803-4969
Phone number: 417-612-8950
Mailing Address
PREMISE HEALTH OF MISSOURI MEDICAL P C
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: