| NPI Details | |
|---|---|
| NPI | 1235142837 |
| Enumeration Date | 08/14/2006 |
| Last Updated | 10/15/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | KIM LEATRICE KIM |
| Position | OFFICE MANAGER |
| Phone | (301) 870-3966 |
| Fax | (301) 753-1992 |
| Practice Location | |
|---|---|
| 6620 CRAIN HWY STE 204 LA PLATA MO, 20646, US |
|
| Phone | (301) 870-3966 |
| Fax | (301) 753-1992 |
| Business Location | |
|---|---|
| PO BOX 1002 6620 CRAIN HWY STE 204 LA PLATA MO, 20646, US |
|
| Phone | (301) 870-3966 |
| Fax | (301) 753-1992 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223G0001X |
| License State | |
| License Number | |
| Remove 1235142837 NPI Number | |
According to our database, O W John & Assc NPI is 1235142837, taxonomy code is 1223G0001X O W John & Assc physically located at 6620 Crain Hwy, La Plata MO, 20646. NPI Number 1033115704 has the healthcare provider type.
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1235142837 NPI number is provided on an as is basis without warranty of any kind. 1235142837 is maintained by the National Plan & Provider Enumeration System. The contents of O W John & Assc are for informational purposes only.
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