HomeNPI Verification

NPI Verification

National Provider Identifier: 1689321218

417 Health Care

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

830 W MOUNT VERNON ST STE 10

NIXA, MO 657149615

Phone: 417-374-4141

NPI Enumeration Date

March 3, 2022

NPI Number

1689321218

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry