Organization · Type 2 NPI

Elite Professional Providers, LLC

Family Medicine Physician · Springfield, MO

NPI number 1891488433 Active

Practice location

3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980

Fax (417) 414-0017

Mailing address

2135 E Independence St # 1093
Springfield, MO 65804-3749

Other practice locations

  • 1655 S Enterprise Ave Ste A3, Springfield, MO 65804-1864 · (417) 220-4480

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 other providers at this address

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About NPI 1891488433

Elite Professional Providers, LLC's National Provider Identifier is 1891488433, issued on May 30, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Springfield, MO. The record was last updated on Jul 7, 2026.