| William J. Klontz M.d. Inc. | |
|
1905 W 32nd St Ste 208 Joplin MO 64804-1529 | |
| (417) 781-7337 | |
| (417) 781-9093 |
| Full Name | William J. Klontz M.d. Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1905 W 32nd St, Joplin, Missouri |
| Authorized Official Name and Position | William J Klontz (PRESIDENT) |
| Authorized Official Contact | 4177817337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J. Klontz M.d. Inc. 4119 Woodcrest Ct Joplin MO 64804-4567 Ph: (417) 781-7337 | William J. Klontz M.d. Inc. 1905 W 32nd St Ste 208 Joplin MO 64804-1529 Ph: (417) 781-7337 |
| NPI Number | 1871568188 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 09/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871568188 | NPI | - | NPPES |
| 260013209 | Other | MO | RAILROAD MEDICARE |
| 201882701 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R4D32 (Missouri) | Primary |
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