Provider First Line Business Practice Location Address:
3660 SOUTH NATIONAL AVE
Provider Second Line Business Practice Location Address:
OXFORD HEALTHCARE
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65808-0939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-883-7552
Provider Business Practice Location Address Fax Number:
417-841-2854
Provider Enumeration Date:
06/26/2006