MISSOURI STATE UNIVERSITY ATHLETIC MEDICAL AND REHABILITATION SERVICES

SPRINGFIELD, MO
NPI1649341272
Entity TypeOrganization
Authorized ContactJAMES THOMAS PENKALSKI
Director
417-836-5461
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2006-11-13
Last Update Date2010-04-01
Business Address
MISSOURI STATE UNIVERSITY ATHLETIC MEDICAL AND REHABILITATION SERVICES
901 S NATIONAL AVE
SPRINGFIELD, MO 65897-0027
Phone number: 417-836-5461
Mailing Address
MISSOURI STATE UNIVERSITY ATHLETIC MEDICAL AND REHABILITATION SERVICES
901 S NATIONAL AVE
SPRINGFIELD, MO 65897-0027
Phone number: 417-836-5461
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