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NPI Code Detail

MEDICARE: OZARKS FAMILY HEALTH LLC

MEDICARE: OZARKS FAMILY HEALTH LLC
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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770850794
Entity Type Code : Organization
Provider Name (Legal Business Name) : OZARKS FAMILY HEALTH LLC
Provider Business Mailing Address
First Line : 4941 N TOWNE CENTRE DR
Second Line :
City : OZARK
State : MO
Zip : 65721-8280
Country : US
Telephone Number : 417-551-4810
Fax Number : 417-551-4814
Provider Business Practice Location Address
First Line : 4941 N TOWNE CENTRE DR
Second Line :
City : OZARK
State : MO
Zip : 65721-8280
Country : US
Telephone Number : 417-839-7667
Fax Number :
Authorized Official
Title or Position : OWNER/DOCTOR
Name : DR. LESTER L CONDUFF
Credential : MD
Telephone Number : 417-839-7667
Provider Enumeration Date : 11/18/2011
Last Update Date : 03/31/2025

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Practice Location Address:
4941 N TOWNE CENTRE DR
OZARK, MO
65721-8280
Practice Phone: 417-551-4810
Practice Fax: 417-755-4814
1780686196 — MARSHA A TAYLOR MD
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OZARK, MO
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1013229251 — MRS. ANGELA R. LIMPUS FNP-C
Practice Location Address:
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OZARK, MO
65721-8280
Practice Phone: 417-551-4810
Practice Fax: 417-551-4818
1477905933 — KRISTINA AMBER ENNIS FNP-BC
Practice Location Address:
4941 N TOWNE CENTRE DR
OZARK, MO
65721-8280
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Practice Fax: 417-551-4814
1700432812 — CASSANDRA CATHERINE HAYES FNP-BC
Practice Location Address:
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OZARK, MO
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Practice Fax: 417-551-4814
1023525110 — ASHLEY NICOLE WATSON MS, LPC
Practice Location Address:
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Practice Fax:

Directions to “OZARKS FAMILY HEALTH LLC ” Practice Location

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