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Contact Information

JOHN K ETHRIDGE JR, MD
1000 E PRIMROSE ST STE 360
SPRINGFIELD, MO65807
 Phone: 417-269-4037
 Fax: 417-269-6139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JOHN K ETHRIDGE JR · (Male)

NPI # 1306042619
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2007
Last updated 07/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2018009510
  • OK License # 25614
  • TN License # 51003
Hospital affiliation(s)
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
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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