Organization · Type 2 NPI
Bright Sky Nutrition, LLC
Clinic/Center · Springfield, MO
NPI number
1124477104
Active
Practice location
3543 S Lone Pine Ave
Springfield, MO 65804-4854
Fax (866) 542-3416
Mailing address
3243 W Katella Ct
Springfield, MO 65807-8713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 2004029834 (MO) |
Clinic/Center: 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).
2 other providers at this address
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- Regional ServicesClinic/Center Springfield, MO NPI 1295892529
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About NPI 1124477104
Bright Sky Nutrition, LLC's National Provider Identifier is 1124477104, issued on Jun 9, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Springfield, MO. The record was last updated on Jul 6, 2016.