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Contact Information

NATHAN A MIRACLE, PA-C
3050 E RIVER BLUFF BLVD
OZARK, MO65721
 Phone: 417-820-5610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NATHAN A MIRACLE · (Male)

NPI # 1326386509
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/23/2013
Last updated 07/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2013001193
Hospital affiliation(s)
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
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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