| Edward Gwin M.d., Llc | |
|
1342 E Primrose St Springfield MO 65804-4279 | |
| (417) 886-2747 | |
| (417) 886-2774 |
| Full Name | Edward Gwin M.d., Llc |
|---|---|
| Speciality | Internal Medicine - Sleep Medicine |
| Location | 1342 E Primrose St, Springfield, Missouri |
| Authorized Official Name and Position | Edward Gwin (OWNER) |
| Authorized Official Contact | 4178830487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Gwin M.d., Llc 2527 E Melbourne Rd Springfield MO 65804-5208 Ph: () - | Edward Gwin M.d., Llc 1342 E Primrose St Springfield MO 65804-4279 Ph: (417) 886-2747 |
| NPI Number | 1639359250 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 11/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639359250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R5222 (Missouri) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | R5222 (Missouri) | Primary |
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