Ronda D. Azelton DO

NPI 1679510358 - Family Medicine - 207Q00000X

NPI Details
NPI 1679510358
Gender Female
Enumeration Date 06/01/2006
Last Updated 05/14/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
815 N. LINCOLN
#G
MONETT MO, 65708-1641, US
Phone (417) 354-1500
Fax (417) 354-1505
Business Location
3800 S. NATIONAL AVE
STE. 540
SPRINGFIELD MO, 65807-5209, US
Phone (417) 354-1500
Fax (417) 354-1505
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036.123755
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According to our database, Ronda D. Azelton DO NPI is 1679510358, taxonomy code is 207Q00000X and license number is 036.123755, license state is located at Illinois. Ronda D. Azelton DO physically located at 815 N. Lincoln, Monett MO, 65708-1641. NPI Number Ronda D. Azelton DO has the Individual type.

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1679510358 NPI number is provided on an as is basis without warranty of any kind. 1679510358 is maintained by the National Plan & Provider Enumeration System. The contents of Ronda D. Azelton DO are for informational purposes only.