Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

C. Rex Witherspoon Surgery Center Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1629105770

C. Rex Witherspoon Surgery Center Inc is an Ambulatory Surgical Clinic/Center in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1103 E Montclair St Ste 110
Springfield, MO 65807-5076
Phone: (417) 447-2482
Fax: (417) 447-2596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 148-1 (MO)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X

Record details

NPI number1629105770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Gipson — Administrator · (417) 447-2482
NPI enumeratedFebruary 27, 2007
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address1103 E Montclair St Ste 110, Springfield, MO 65807-5076

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