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Joseph L Mailloux, MD
Diagnostic Radiology Physician in Springfield, Missouri
NPI 1700846391

Joseph L Mailloux is a Diagnostic Radiology Physician based in Springfield, MO and is specialized in Diagnostic Radiology. Joseph L Mailloux practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Joseph L Mailloux is 1700846391 and holds a License No. 112743 (Missouri).

The current practice location address for Joseph L Mailloux is 3801 S National Ave, Springfield, MO and can be reached out via phone at 417-269-4056 and via fax at 417-269-5556.

Location: 3801 S National Ave, Springfield, MO, 65804-6530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700846391
Provider Name
Joseph L Mailloux
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3801 S National Ave, Springfield, MO, 65804-6530
Phone Number
417-269-4056
Fax Number
417-269-5556
Provider Enumeration Date
03/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208715904 05 MO
1256 01 MO BLUE
30009542 01 MO RRR MEDICARE
131641001 05 AR
institution
Provider Business Practice Location Address Details
Address
3801 S National Ave
City
Springfield
State
Missouri
Zip
65807-5210
Phone Number
417-269-4056
Fax Number
417-269-5556
person
Provider Business Mailing Address Details
Address
3801 S National Ave
City
Springfield
State
Missouri
Zip
65807-5210
Phone Number
417-269-4056
Fax Number
417-269-5556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
112743 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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