Sooner Internal Medicine, Llc

NPI 1154354835 - Internal Medicine - 207R00000X

NPI Details
NPI 1154354835
Enumeration Date 07/08/2006
Last Updated 11/17/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDY EUGENE RANDY
Position OWNER
Phone (417) 781-0224
Fax (417) 781-0692
Practice Location
1002 MC INTOSH CIR
SUITE 1
JOPLIN MO, 64804-3642, US
Phone (417) 781-0224
Fax (417) 781-0692
Business Location
1002 MC INTOSH CIR
SUITE 1
JOPLIN MO, 64804-3642, US
Phone (417) 781-0224
Fax (417) 781-0692
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 2001017184
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According to our database, Sooner Internal Medicine, Llc NPI is 1154354835, taxonomy code is 207R00000X and license number is 2001017184, license state is located at Missouri. Sooner Internal Medicine, Llc physically located at 1002 Mc Intosh Cir, Joplin MO, 64804-3642. NPI Number 1033115704 has the healthcare provider type.

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1154354835 NPI number is provided on an as is basis without warranty of any kind. 1154354835 is maintained by the National Plan & Provider Enumeration System. The contents of Sooner Internal Medicine, Llc are for informational purposes only.