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Amberly Taite Eversole, PA-C
Medical Physician Assistant in Springfield, Missouri
NPI 1508620733

Amberly Taite Eversole is a Medical Physician Assistant based in Fair Grove, MO and is specialized in Medical. Amberly Taite Eversole practices in Springfield, MO and has the professional credentials of PA-C. The NPI Number for Amberly Taite Eversole is 1508620733 and holds a License No. 2024004719 (Missouri).

The current practice location address for Amberly Taite Eversole is 960 E Walnut Lawn St Ste 201, Springfield, MO and can be reached out via phone at 417-269-4450.

Location: 960 E Walnut Lawn St Ste 201, Springfield, MO, 65648-7861
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Provider Profile Details
NPI Number
1508620733
Provider Name
Amberly Taite Eversole
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
960 E Walnut Lawn St Ste 201, Springfield, MO, 65648-7861
Phone Number
417-269-4450
Fax Number
Provider Enumeration Date
02/08/2024
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2024004719 01 MO PERSONAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
960 E Walnut Lawn St Ste 201
City
State
Zip
65807-7865
Phone Number
417-269-4450
Fax Number
person
Provider Business Mailing Address Details
Address
960 E Walnut Lawn St Ste 201
City
State
Zip
65807-7865
Phone Number
417-269-4450
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2024004719 (Missouri)
Definition
Definition to come...
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