Provider Demographics
NPI:1912476300
Name:SPURLING AND WHITE LLC
Entity type:Organization
Organization Name:SPURLING AND WHITE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:K
Authorized Official - Last Name:SPURLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:417-255-8645
Mailing Address - Street 1:1307 PORTER WAGONER BLVD.
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775
Mailing Address - Country:US
Mailing Address - Phone:417-255-8645
Mailing Address - Fax:417-255-8649
Practice Address - Street 1:100 W. 17TH STREET
Practice Address - Street 2:STE D
Practice Address - City:MOUNTAIN GROVE
Practice Address - State:MO
Practice Address - Zip Code:65711
Practice Address - Country:US
Practice Address - Phone:417-255-8645
Practice Address - Fax:417-255-8649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty