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Dr. Justin David Puckett, DO
Family Medicine Physician in Kirksville, Missouri
NPI 1205044146

Justin David Puckett is a Family Medicine Physician based in Hannibal, MO. Justin David Puckett practices in Kirksville, MO and has the professional credentials of DO. The NPI Number for Justin David Puckett is 1205044146 and holds a License No. 2006017939 (Missouri).

The current practice location address for Justin David Puckett is 2004 N Baltimore St Ste A, Kirksville, MO and can be reached out via phone at 660-665-7575 and via fax at 660-665-7576.

Location: 2004 N Baltimore St Ste A, Kirksville, MO, 63401-0551
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Provider Profile Details
NPI Number
1205044146
Provider Name
Justin David Puckett
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2004 N Baltimore St Ste A, Kirksville, MO, 63401-0551
Phone Number
660-665-7575
Fax Number
660-665-7576
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA1807001 01 MO MEDICARE
209398502 05 MO
institution
Provider Business Practice Location Address Details
Address
2004 N Baltimore St Ste A
City
State
Zip
63501-5107
Phone Number
660-665-7575
Fax Number
660-665-7576
person
Provider Business Mailing Address Details
Address
2004 N Baltimore St Ste A
City
State
Zip
63501-5107
Phone Number
660-665-7575
Fax Number
660-665-7576
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
2006017939 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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