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Dr. John Derick Paulson, DO
Family Medicine Physician in Joplin, Missouri
NPI 1801077797

John Derick Paulson is a Family Medicine Physician based in Tulsa, MO. John Derick Paulson practices in Joplin, MO and has the professional credentials of DO. The NPI Number for John Derick Paulson is 1801077797 and holds a License No. 5883 (Missouri).

The current practice location address for John Derick Paulson is 530 S Maiden Ln, Joplin, MO and can be reached out via phone at 417-782-6200.

Location: 530 S Maiden Ln, Joplin, MO, 74136-3347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801077797
Provider Name
John Derick Paulson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
530 S Maiden Ln, Joplin, MO, 74136-3347
Phone Number
417-782-6200
Fax Number
Provider Enumeration Date
11/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26D0679044 01 MO CLIA
597780303 01 MO RH MEDICAID
P00849708 01 MO RR MEDICARE
1801077797 05 MO
26-8535 01 MO RH MEDICARE
1235178930 05 MO
1447412770 05 MO
26D0889777 01 MO CLIA
institution
Provider Business Practice Location Address Details
Address
530 S Maiden Ln
City
Joplin
State
Missouri
Zip
64801-3084
Phone Number
417-782-6200
Fax Number
person
Provider Business Mailing Address Details
Address
530 S Maiden Ln
City
Joplin
State
Missouri
Zip
64801-3084
Phone Number
417-782-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5883 (Oklahoma)
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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