Blue Medical LLC

NPI #1124818729 in Nixa, Missouri

Provider Information

NPI Number: 1124818729
Entity Type: Organization
Organization Name: Blue Medical LLC
Primary Specialty: General Practice
Enumeration Date: May 8, 2025
Last Updated: Oct 22, 2025

Practice Location

Address: 511 W WOODBINE
City: Nixa
State: Missouri
ZIP Code: 65714
Phone: (417) 444-3501

Authorized Official

Name: BRIAN MAURICE SHEFULSKY, DO
Title: OWNER
Phone: (417) 444-3501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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