BRADFORD PARKWAY SURGERY AND LASER CENTER NPI 1588667208

NPI Information

BRADFORD PARKWAY SURGERY AND LASER CENTER is an ambulatory surgical clinic center in Springfield, MO. BRADFORD PARKWAY SURGERY AND LASER CENTER NPI is 1588667208. The provider is registered as an organization entity type.

The provider's business location address is:

1531 E BRADFORD PARKWAY STE 120
SPRINGFIELD, MO
ZIP 65804-539
Phone: (417) 886-3900
Fax: (417) 886-0094

The provider's authorized official is Lisa Smith .
The authorized official title is Asc Director and has the following contact phone number (417) 886-3900.

The CLIA number assigned to this NPI record is 26D1054661 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 12/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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