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

Southwest Missouri Infectious Disease LLC

Organization Infectious Disease Physician · NPI 1396284303

Southwest Missouri Infectious Disease LLC is an Infectious Disease Physician in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2872 S Forrest Heights Ave
Springfield, MO 65809-3417
Phone: (417) 459-1711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 2004006990 (MO)

Record details

NPI number1396284303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Fulnecky — Owner · (417) 459-1711
NPI enumeratedFebruary 23, 2017
Last updated in NPPESFebruary 23, 2017
Mailing address2872 S Forrest Heights Ave, Springfield, MO 65809-3417

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