Andrew Ernest Painter MD

NPI 1053307975 - Family Medicine - 207Q00000X

NPI Details
NPI 1053307975
Gender Male
Enumeration Date 09/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
204 E 3RD ST
PORTAGEVILLE MO, 63873-1402, US
Phone (573) 379-5467
Fax (573) 379-5671
Business Location
204 E 3RD ST
PORTAGEVILLE MO, 63873-1402, US
Phone (573) 379-5467
Fax (573) 379-5671
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number R1370
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According to our database, Andrew Ernest Painter MD NPI is 1053307975, taxonomy code is 207Q00000X and license number is R1370, license state is located at Missouri. Andrew Ernest Painter MD physically located at 204 E 3rd St, Portageville MO, 63873-1402. NPI Number Andrew Ernest Painter MD has the Individual type.

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1053307975 NPI number is provided on an as is basis without warranty of any kind. 1053307975 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Ernest Painter MD are for informational purposes only.