| Iron Bridge Diabetes & Endo | |
|
1135 E Lakewood St Suite 104 Springfield MO 65810-2403 | |
| (417) 879-6364 | |
| (417) 879-6368 |
| Full Name | Iron Bridge Diabetes & Endo |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1135 E Lakewood St, Springfield, Missouri |
| Authorized Official Name and Position | Ralph J Duda (OWNER) |
| Authorized Official Contact | 4178796364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iron Bridge Diabetes & Endo 1135 E Lakewood St Suite 104 Springfield MO 65810-2403 Ph: (417) 879-6364 | Iron Bridge Diabetes & Endo 1135 E Lakewood St Suite 104 Springfield MO 65810-2403 Ph: (417) 879-6364 |
| NPI Number | 1306931423 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306931423 | NPI | - | NPPES |
| 16610 | Other | BLUE CROSS BLUE SHIELD | |
| 460002667 | Other | PTAN | |
| P00266673 | Other | MO | RAILROAD MEDICARE PTAN |
| 000015170 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 S National Ave, #307, Springfield, MO 65807 Phone: 417-269-9220 Fax: 417-269-9229 | |
Lester E. Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 S National Ave, #600, Springfield, MO 65807 Phone: 417-269-1499 Fax: 417-269-1459 | |
Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802 Phone: 417-269-3915 Fax: 417-269-3913 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |
Lester E Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 W Sunshine St, Springfield, MO 65807 Phone: 417-269-2240 Fax: 417-269-2245 | |
Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802 Phone: 417-831-0150 Fax: 417-831-0155 |