OrganizationActive
417 Sports Medicine and Orthopedics LLC
NPI 1871105312 · Sports Medicine (Family Medicine) Physician · Springfield, MO
Provider details
- NPI number
- 1871105312
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Eric Gifford, Physician
Practice location
3328 S National Ave
Springfield, MO 65807-7305
Phone: (417) 771-3147
Mailing address
2100 E Norshire St
Springfield, MO 65804-7829
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2024-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.