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1518165331
SPENCER PARK KIRK
SPRINGFIELD, MO
NPI
1518165331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 2011005959)
Additional Taxonomies
208600000X Surgery
(Licence: IA 3819)
Enumeration Date
2007-07-03
Last Update Date
2018-07-26
Business Address
Dr. SPENCER PARK KIRK D.O.
1965 S FREMONT AVE STE 100
SPRINGFIELD, MO 65804
Phone number: 417-820-3800
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Mailing Address
Dr. SPENCER PARK KIRK D.O.
1965 S FREMONT AVE STE 100
SPRINGFIELD, MO 65804-2229
Phone number: 417-820-3800
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