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Regional Plastic & Reconstructive
Specialist in Joplin, Missouri
NPI 1578749024

Regional Plastic & Reconstructive is a Specialist based in Joplin, MO. Regional Plastic & Reconstructive practices in Joplin, MO. The NPI Number for Regional Plastic & Reconstructive is 1578749024 and holds a License No. R7D97 (Missouri).

The current practice location address for Regional Plastic & Reconstructive is 520 E 32Nd St, Joplin, MO and can be reached out via phone at 417-782-3100 and via fax at 417-782-2342.

Location: 520 E 32Nd St, Joplin, MO, 64804-3904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578749024
Provider Name
Regional Plastic & Reconstructive
Credential
Provider Entity Type
Organization
Address
520 E 32Nd St, Joplin, MO, 64804-3904
Phone Number
417-782-3100
Fax Number
417-782-2342
Provider Enumeration Date
01/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN5879 01 MO MEDICARE RAILROAD PIN
1982668125 01 MO NATIONAL PROVIDER IDENTIF
institution
Provider Business Practice Location Address Details
Address
520 E 32Nd St
City
Joplin
State
Missouri
Zip
64804-3904
Phone Number
417-782-3100
Fax Number
417-782-2342
person
Provider Business Mailing Address Details
Address
520 E 32Nd St
City
Joplin
State
Missouri
Zip
64804-3904
Phone Number
417-782-3100
Fax Number
417-782-2342
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R7D97 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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