Larry Douglas Mcintire in Joplin - Otolaryngology/facial Plastic Surgery
Larry Douglas Mcintire - NPI 1164402046
Larry Douglas Mcintire is a Otolaryngology/facial Plastic Surgery in Joplin, Missouri. Larry Douglas Mcintire practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Larry Douglas Mcintire is 1164402046. The last update date is 2011-03-08.
Larry Douglas Mcintire's current location address is Po Box 3810, Joplin, Missouri. You can contact this provider via phone number 4173476767 and fax number 4173473170. The mailing address for Larry Douglas Mcintire is Po Box 3810, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Douglas Mcintire |
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Address | Po Box 3810, Joplin, Missouri |
Phone Number | 4173476767 |
Fax Number | 4173473170 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1164402046 |
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Provider Enumeration Date | 2006-01-18 |
Last Updated Date | 2011-03-08 |
Provider Mailing Address Detail
Address | Po Box 3810 |
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City | Joplin |
State | Missouri (MO) |
Post Code | 648033810 |
Phone Number | 4173476767 |
Fax Number | 4173473170 |
Provider's Primary Taxonomy Detail
Speciality | Otolaryngology/facial Plastic Surgery |
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Taxonomy | 207Yx0905X |
Licence No | 33563 |
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
241195528 | MO | -- | |
9054 | MO | BLUE CROSS |
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What is the unique 10-digit identifier code issued to Larry Douglas Mcintire by the Centers for Medicare & Medicaid Services?
The Larry Douglas Mcintire has been assigned the NPI (National Provider Identifier) 1164402046 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Larry Douglas Mcintire's facilities are situated?
The facilities of Larry Douglas Mcintire are physically located at the following address: Po Box 3810, Joplin, MO, 648033810.
What is Larry Douglas Mcintire's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry Douglas Mcintire is Otolaryngology/facial Plastic Surgery, and the taxonomy code that classifies this field of practice is 207Yx0905X.
When did Larry Douglas Mcintire receive its 1164402046 assignment?
The Larry Douglas Mcintire was assigned its 1164402046 on 2006-01-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Larry Douglas Mcintire last refreshed?
The information related to the Larry Douglas Mcintire, including its address, specialty, and other relevant details, was last updated on 2011-03-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY