417 HEALTH CARE
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1689321218- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 830 W MOUNT VERNON ST STE 10, NIXA, MO, 657149615
- Phone
- (417) 374-4141
- Fax
- (417) 374-4140
Specialties & Taxonomies
Family Medicine
Primary