Amy R Thorne, DO | |
110 Business Park Dr Ste C, Branson, MO 65616-7449 | |
(417) 336-0033 | |
Not Available |
Full Name | Amy R Thorne |
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Gender | Female |
Speciality | Dermatology |
Location | 110 Business Park Dr Ste C, Branson, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265878789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 2016034327 (Missouri) | Secondary |
207N00000X | Dermatology | R3974 (Texas) | Secondary |
207N00000X | Dermatology | 6265 (Oklahoma) | Primary |
Entity Name | Michael G. Mccauley M.d. Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295753986 PECOS PAC ID: 3870554645 Enrollment ID: O20041025000748 |
Mailing Address | Practice Location Address |
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Amy R Thorne, DO Po Box 1506, Ardmore, OK 73402-1506 Ph: () - | Amy R Thorne, DO 110 Business Park Dr Ste C, Branson, MO 65616-7449 Ph: (417) 336-0033 |
Dr. Douglas Michael Leone, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 Business Park Dr Ste C, Branson, MO 65616 Phone: 417-336-0033 Fax: 309-452-3376 | |
Dr. Christy Shaffer Rainey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 Business Park Dr, Ste C, Branson, MO 65616 Phone: 417-239-0125 Fax: 417-239-0127 |