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Contact Information

DAN R MOSTROM, DPM
3231 S NATIONAL AVE
SPRINGFIELD, MO65807-7304
 Phone: 417-888-6708
 Fax: 417-890-4143
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAN R MOSTROM · (Male)

NPI Number 1013066745
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/10/2007
Last updated 11/25/2008 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 000644
  • MO Medicaid 303353528
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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