Ozark Gastroenterology, Inc

NPI 1295985968 - Internal Medicine - 207RG0100X

NPI Details
NPI 1295985968
Enumeration Date 09/30/2008
Last Updated 04/24/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SUDHAKAR SUDHAKAR
Position OWNER
Phone (417) 623-5250
Fax (417) 623-8302
Practice Location
2216 E 32ND STREET
STE 103
JOPLIN MO, 64804, US
Phone (417) 623-5250
Fax (417) 623-8302
Business Location
2216 E 32ND STREET
STE 103
JOPLIN MO, 64804, US
Phone (417) 623-5250
Fax (417) 623-8302
Toxanomy
Taxonomy Code 207RG0100X
License State Missouri
License Number 2005009627
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According to our database, Ozark Gastroenterology, Inc NPI is 1295985968, taxonomy code is 207RG0100X and license number is 2005009627, license state is located at Missouri. Ozark Gastroenterology, Inc physically located at 2216 E 32nd Street, Joplin MO, 64804. NPI Number 1033115704 has the healthcare provider type.

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1295985968 NPI number is provided on an as is basis without warranty of any kind. 1295985968 is maintained by the National Plan & Provider Enumeration System. The contents of Ozark Gastroenterology, Inc are for informational purposes only.