MISSOURI STATE UNIVERSITY ATHLETIC TRAINING SERVICESIS is a clinic center in Springfield, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MISSOURI STATE UNIVERSITY ATHLETIC TRAINING SERVICESIS NPI is 1427021765. The provider is registered as an organization entity type.
The provider's business location address is:
901 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65804-027
Phone: (417) 836-5461
Fax: (417) 836-6101
The provider's authorized official is Ivan Eugene Milton .
The authorized official title is Director Athletic Training Services and has the following contact phone number (417) 836-5461.
The CLIA number assigned to this NPI record is 26D2199240 - other - sports medicine facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/8/2006 and was last updated on 8/22/2020.