417 SPORTS MEDICINE AND ORTHOPEDICS LLC

SPRINGFIELD, MO
NPI1871105312
Entity TypeOrganization
Authorized ContactERIC GIFFORD
Physician
817-825-5096
Organization Subpart ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
Enumeration Date2020-08-17
Last Update Date2024-05-16
Business Address
417 SPORTS MEDICINE AND ORTHOPEDICS LLC
3328 S NATIONAL AVE
SPRINGFIELD, MO 65807-7305
Phone number: 417-771-3147
Mailing Address
417 SPORTS MEDICINE AND ORTHOPEDICS LLC
2100 E NORSHIRE ST
SPRINGFIELD, MO 65804-7829
Phone number: 817-825-5096
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