Missouri State University
NPI #1477893907 in Springfield, Missouri
Provider Information
- NPI Number
- 1477893907
- Entity Type
- Organization
- Organization Name
- Missouri State University
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Feb 20, 2013
- Last Updated
- Feb 20, 2013
Practice Location
- Address
- 1630 N JEFFERSON AVE
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65803-2819
- Phone
- (417) 837-1504
Authorized Official
- Name
- MARK BOWER, M.D.
- Title
- PHYSICIAN, MEDICAL DIRECTOR
- Phone
- (417) 837-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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