OrganizationActive
180 Health Lifestyle Wellness Centers
NPI 1649815796 · General Practice Physician · Springfield, MO
Provider details
- NPI number
- 1649815796
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tara Meek, Owner
Practice location
1936 S Glenstone Ave
Springfield, MO 65804-2305
Phone: (417) 827-0450
Mailing address
1936 S Glenstone Ave
Springfield, MO 65804-2305
Registry dates
- Enumerated
- 2019-11-13
- Last updated
- 2020-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.