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Bright Sky Nutrition, Llc
Clinic/Center in Springfield, Missouri
NPI 1124477104

Bright Sky Nutrition, Llc is a Clinic/Center based in Springfield, MO. Bright Sky Nutrition, Llc practices in Springfield, MO. The NPI Number for Bright Sky Nutrition, Llc is 1124477104 and holds a License No. 2004029834 (Missouri).

The current practice location address for Bright Sky Nutrition, Llc is 3543 S Lone Pine Ave, Springfield, MO and can be reached out via phone at 417-343-8222 and via fax at 866-542-3416.

Location: 3543 S Lone Pine Ave, Springfield, MO, 65807-8713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124477104
Provider Name
Bright Sky Nutrition, Llc
Credential
Provider Entity Type
Organization
Address
3543 S Lone Pine Ave, Springfield, MO, 65807-8713
Phone Number
417-343-8222
Fax Number
866-542-3416
Provider Enumeration Date
06/09/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073807384 05 MO
institution
Provider Business Practice Location Address Details
Address
3543 S Lone Pine Ave
City
Springfield
State
Missouri
Zip
65804-4854
Phone Number
417-343-8222
Fax Number
866-542-3416
person
Provider Business Mailing Address Details
Address
3543 S Lone Pine Ave
City
Springfield
State
Missouri
Zip
65804-4854
Phone Number
417-343-8222
Fax Number
866-542-3416
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
2004029834 (Missouri)
Definition
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).
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