Trinity Healthcare Pc

NPI 1215281761 - Family Medicine - 207Q00000X

NPI Details
NPI 1215281761
Enumeration Date 11/06/2012
Last Updated 11/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JOHN JOHN
Position INCORPORATOR/SHAREHOLDER
Phone (417) 521-3925
Fax
Practice Location
2740 N MAYFAIR AVE
SPRINGFIELD MO, 65803-5084, US
Phone (417) 521-3925
Fax
Business Location
2740 N MAYFAIR AVE
SPRINGFIELD MO, 65803-5084, US
Phone (417) 521-3925
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number MD115778
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According to our database, Trinity Healthcare Pc NPI is 1215281761, taxonomy code is 207Q00000X and license number is MD115778, license state is located at Missouri. Trinity Healthcare Pc physically located at 2740 N Mayfair Ave, Springfield MO, 65803-5084. NPI Number 1033115704 has the healthcare provider type.

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1215281761 NPI number is provided on an as is basis without warranty of any kind. 1215281761 is maintained by the National Plan & Provider Enumeration System. The contents of Trinity Healthcare Pc are for informational purposes only.