| Glycemic Management Services | |
|
3801 S National Ave 9th Floor Springfield MO 65807-5210 | |
| (417) 269-5158 | |
| (417) 269-4470 |
| Full Name | Glycemic Management Services |
|---|---|
| Speciality | Family Medicine |
| Location | 3801 S National Ave, Springfield, Missouri |
| Authorized Official Name and Position | Brock Shamel (VICE PRESIDENT) |
| Authorized Official Contact | 4172694368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glycemic Management Services Po Box 7411626 Chicago IL 60674-5626 Ph: (417) 730-6430 | Glycemic Management Services 3801 S National Ave 9th Floor Springfield MO 65807-5210 Ph: (417) 269-5158 |
| NPI Number | 1154813244 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154813244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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