| Ozarks Healthcare Infectious Disease | |
|
2600 Independence Sq West Plains MO 65775-4233 | |
| (417) 256-1774 | |
| (417) 256-1794 |
| Full Name | Ozarks Healthcare Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2600 Independence Sq, West Plains, Missouri |
| Authorized Official Name and Position | Barrylyn Ulmanis (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 4172576792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozarks Healthcare Infectious Disease Po Box 1100 West Plains MO 65775-1100 Ph: (417) 256-9111 | Ozarks Healthcare Infectious Disease 2600 Independence Sq West Plains MO 65775-4233 Ph: (417) 256-1774 |
| NPI Number | 1861001448 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861001448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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