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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

NPI Number 1295985968
LBN Legal business name OZARK GASTROENTEROLOGY, INC
Authorized official SUDHAKAR ANCHA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2008
Last updated 04/24/2014 - About 12 years ago
Identifiers
MO License # 2005009627
MO Other 1346395852 INDIVIDUAL NPI
MO Other 000093116 MEDICARE P10
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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