Individual provider · Type 1 NPI

Marc Havlicek, PA-C

Physician Assistant · Springfield, MO

NPI number 1558057679 Active

Practice location

3801 S National Ave
Springfield, MO 65807-5210

Call (417) 269-6583 Map

Fax (417) 269-6573

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Other practice locations

  • 525 Branson Landing Blvd, Branson, MO 65616-2052 · (417) 875-2627

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X20230212235 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1558057679

Marc Havlicek, PA-C's National Provider Identifier is 1558057679, issued on Apr 12, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, MO. The record was last updated on Apr 30, 2026.