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Contact Information

ANTHONY R DIVITO, MD
1235 E CHEROKEE ST
SPRINGFIELD, MO65804-2203
 Phone: 417-820-9729
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANTHONY R DIVITO · (Male)

NPI Number 1336303411
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2011003928
  • AR Medicaid PENDING
  • MO Medicaid PENDING
  • OK Medicaid PENDING
  • MO Other PENDING MEDICARE
Hospital affiliation(s)
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
  • MERCY HOSPITAL LEBANON - (Acute Care)
    100 HOSPITAL DRIVE
    LEBANON, MO 65536
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
  • MERCY ST FRANCIS HOSPITAL - (Critical Access)
    100 WEST HIGHWAY 60, PO BOX 82
    MOUNTAIN VIEW, MO 65548
  • TEXAS COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1333 SAM HOUSTON BOULEVARD
    HOUSTON, MO 65483
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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