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Contact Information

OZARK GASTROENTEROLOGY, INC
2216 E 32ND STREET
STE 103
JOPLIN, MO64804
 Phone: 417-623-5250
 Fax: 417-623-8302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for OZARK GASTROENTEROLOGY INC · (Female)

NPI # 1295985968
Status Active
Credentials
Entity Individual
Enumeration date 09/30/2008
Last updated 04/24/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2005009627
  • MO Other 1346395852 INDIVIDUAL NPI
  • MO Other 000093116 MEDICARE P10
Hospital affiliation(s) Not Available
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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