Edward R Douglas in Springfield - Neuromusculoskeletal Medicine & Omm
Edward R Douglas - NPI 1467452813
Edward R Douglas is a Neuromusculoskeletal Medicine & Omm in Springfield, Missouri. Edward R Douglas practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Edward R Douglas is 1467452813. The last update date is 2011-04-23.
Edward R Douglas's current location address is 3829 S Jefferson Ave, Springfield, Missouri. You can contact this provider via phone number 4178905585 and fax number 4178770970. The mailing address for Edward R Douglas is 3829 S Jefferson Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward R Douglas |
|---|---|
| Address | 3829 S Jefferson Ave, Springfield, Missouri |
| Phone Number | 4178905585 |
| Fax Number | 4178770970 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1467452813 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2011-04-23 |
Provider Mailing Address Detail
| Address | 3829 S Jefferson Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658075376 |
| Phone Number | 4178905585 |
| Fax Number | 4178770970 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine & Omm |
|---|---|
| Taxonomy | 204D00000X |
| Licence No | 2002013903 |
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Definition: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Edward R Douglas?
The Edward R Douglas has been issued the NPI (National Provider Identifier) 1467452813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Edward R Douglas?
The Edward R Douglas is situated at 3829 S Jefferson Ave, in the city of Springfield, state of MO, with the zip code 658075376.
What is Edward R Douglas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward R Douglas is Neuromusculoskeletal Medicine & Omm, and the corresponding taxonomy classification code for this specialized field is 204D00000X.
On what date was the 1467452813 assigned to Edward R Douglas?
The Edward R Douglas was issued its 1467452813 on 2005-07-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Edward R Douglas's details last updated?
The information pertaining to the Edward R Douglas, including its address, specialty, and other details, was most recently updated on 2011-04-23.