417 Housecalls
NPI #1164016036 in Springfield, Missouri
Provider Information
- NPI Number
- 1164016036
- Entity Type
- Organization
- Organization Name
- 417 Housecalls
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 22, 2021
- Last Updated
- Jan 16, 2023
Practice Location
- Address
- 1335 E REPUBLIC RD STE D
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65804-7220
- Phone
- (417) 363-3900
Authorized Official
- Name
- TIMOTHY ANDREW HUBBARD, PA-C
- Title
- PHYSICIAN ASSISTANT
- Phone
- (417) 363-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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