Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-09-19
- Last updated
- 2020-06-12
Licenses
- License MO
- 2944
Location
- Practice location
- 105 S OAK
- City
- NEVADA MO
- Postal code
- 64772
- Phone
- 417-667-7802
Organization contact
- Name
- MICHAEL BURNS
- Title
- Owner/CEO
- Phone
- 7854483600
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.