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NPI Code Detail

MEDICARE: SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE

MEDICARE: SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician

General Provider Information

NPI Number : 1821392325
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE
Provider Business Mailing Address
First Line : PO BOX 9434
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65801-9434
Country : US
Telephone Number : 417-885-3888
Fax Number :
Provider Business Practice Location Address
First Line : 1401 HIGHWAY 62 65 N
Second Line :
City : HARRISON
State : AR
Zip : 72601-1701
Country : US
Telephone Number : 417-885-3888
Fax Number :
Authorized Official
Title or Position : VP OF OPERATIONS
Name : BRYAN WILLIAMS
Credential :
Telephone Number : 417-379-3312
Provider Enumeration Date : 12/27/2010
Last Update Date : 10/31/2025

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Directions to “SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.