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Dr. Craig L Pendergrass, DO
Family Medicine Physician in Neosho, Missouri
NPI 1700835469

Craig L Pendergrass is a Family Medicine Physician based in Neosho, MO. Craig L Pendergrass practices in Neosho, MO and has the professional credentials of DO. The NPI Number for Craig L Pendergrass is 1700835469 and holds a License No. 110888 (Missouri).

The current practice location address for Craig L Pendergrass is 117 E Hickory St, Neosho, MO and can be reached out via phone at 417-451-4545 and via fax at 417-451-4546.

Location: 117 E Hickory St, Neosho, MO, 64850-0220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700835469
Provider Name
Craig L Pendergrass
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
117 E Hickory St, Neosho, MO, 64850-0220
Phone Number
417-451-4545
Fax Number
417-451-4546
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110571 01 MO ANTHEM
P00248178 01 RR MEDICARE
100296690C 05 KS
248916405 05 MO
100183590A 05 OK
institution
Provider Business Practice Location Address Details
Address
117 E Hickory St
City
Neosho
State
Missouri
Zip
64850-1806
Phone Number
417-451-4545
Fax Number
417-451-4546
person
Provider Business Mailing Address Details
Address
117 E Hickory St
City
Neosho
State
Missouri
Zip
64850-1806
Phone Number
417-451-4545
Fax Number
417-451-4546
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
110888 (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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