| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1528192150 | CARLSON | MARK | LUTHER | 1423 N JEFFERSON AVE | SPRINGFIELD | MO | 658021917 | |
| 1356515431 | DEAN | LISA | 1423 N JEFFERSON AVE | SPRINGFIELD | MO | 658021917 | ||
| 1245404326 | MOYLE | TRESSA | 1423 N JEFFERSON AVE | SPRINGFIELD | MO | 658021917 | ||
| 1154595213 | WILLIAMS | DARRELL | 1423 N JEFFERSON AVE | SPRINGFIELD | MO | 658021917 |