Jacob N Masena D.O.

NPI 1669798880 - Family Medicine - 207Q00000X

NPI Details
NPI 1669798880
Gender Male
Enumeration Date 04/13/2010
Last Updated 04/24/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
1102 W 32ND ST
JOPLIN MO, 64804-3503, US
Phone (417) 347-1111
Fax
Business Location
1102 W 32ND ST
JOPLIN MO, 64804-3503, US
Phone (417) 347-1111
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 2011041711
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According to our database, Dr. Jacob N Masena D.O. NPI is 1669798880, taxonomy code is 207Q00000X and license number is 2011041711, license state is located at Missouri. Jacob N Masena D.O. physically located at 1102 W 32nd St, Joplin MO, 64804-3503. NPI Number Jacob N Masena D.O. has the Individual type.

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1669798880 NPI number is provided on an as is basis without warranty of any kind. 1669798880 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob N Masena D.O. are for informational purposes only.