Unknown Individual – Specialist, NPI 1821292293
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
721, West 13th Street, Joplin, Jasper County, Missouri, 64804, United States
SUITE 220
JASPER, IN 475461855
Phone: (812) 482-4494
Fax: (812) 482-4499
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47546)
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