HomeNPI Verification

NPI Verification

National Provider Identifier: 1871105312

417 Sports Medicine and Orthopedics LLC

Organization

Primary Specialty

Family Medicine, Sports Medicine

Code: 207QS0010X

Practice Address

2100 E NORSHIRE ST

SPRINGFIELD, MO 658047829

Phone: 817-825-5096

NPI Enumeration Date

August 17, 2020

NPI Number

1871105312

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