College Skyline Center LLC

NPI #1598764110 in Joplin, Missouri

Provider Information

NPI Number
1598764110
Entity Type
Organization
Organization Name
College Skyline Center LLC
Primary Specialty
Clinic/Center
Enumeration Date
Jul 15, 2005
Last Updated
May 4, 2017

Practice Location

Address
1230 N DUQUESNE RD
City
Joplin
ZIP Code
64801-1509
Phone
(417) 782-1443

Authorized Official

Name
MRS. TRACY EDDINGTON
Title
ADMINISTRATION
Phone
(417) 782-1443

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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