Graduated: 2017
NPI: 1134657117
Practice Locations (3)
LAKE REGIONAL HEALTH SYSTEM
226 E US HWY 54
CAMDENTON, MO 650206819
5738732521
NEXTCARE MISSOURI LLC
202 E NIFONG BLVD, PROVIDENCE URGENT CARE NIFONG
COLUMBIA, MO 652033759
5738746824
LAKE REGIONAL HEALTH SYSTEM
302 E 4TH ST
ELDON, MO 650261808
5733929400
Source: CMS National Downloadable File, September 2026.