Provider First Line Business Practice Location Address:
4121 S. FREMONT SUITE 120
Provider Second Line Business Practice Location Address:
EMERGENCY PHYSICIANS OF SPRINGFIELD, INC.
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-269-6583
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2008