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NPI Code Detail

MEDICARE: EUGENIA R CORTEZ MS

MEDICARE: EUGENIA R CORTEZ MS
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
1101YP2500XProfessional Counselor00000000000000MO

General Provider Information

NPI Number : 1932531126
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENIA R CORTEZ MS
Provider Business Mailing Address
First Line : 1631 S. FERGUSON AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807
Country : US
Telephone Number : 417-619-9131
Fax Number :
Provider Business Practice Location Address
First Line : 2124 CHESTERFIELD BLVD.
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807
Country : US
Telephone Number : 417-619-9131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2013
Last Update Date : 07/30/2013

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Directions to “ EUGENIA R CORTEZ MS” Practice Location

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