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Dr. Cory L.s. Offutt, MD
Family Medicine Physician in Rolla, Missouri
NPI 1811330806

Cory L.s. Offutt is a Family Medicine Physician based in Rolla, MO. Cory L.s. Offutt practices in Rolla, MO and has the professional credentials of MD. The NPI Number for Cory L.s. Offutt is 1811330806 and holds a License No. (Missouri).

The current practice location address for Cory L.s. Offutt is 600 Blues Lake Pkwy, Rolla, MO and can be reached out via phone at 573-364-8822 and via fax at 573-202-2403.

Location: 600 Blues Lake Pkwy, Rolla, MO, 65401-2905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811330806
Provider Name
Cory L.s. Offutt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 Blues Lake Pkwy, Rolla, MO, 65401-2905
Phone Number
573-364-8822
Fax Number
573-202-2403
Provider Enumeration Date
04/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811330806 05 MO
26D0889777 01 MO CLIA
institution
Provider Business Practice Location Address Details
Address
600 Blues Lake Pkwy
City
Rolla
State
Missouri
Zip
65401
Phone Number
573-364-8822
Fax Number
573-202-2403
person
Provider Business Mailing Address Details
Address
600 Blues Lake Pkwy
City
Rolla
State
Missouri
Zip
65401
Phone Number
573-364-8822
Fax Number
573-202-2403
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2015002436 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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