| Damour Family Medicine | |
|
1801 W 32nd St Ste 102 Joplin MO 64804-1528 | |
| (417) 782-4100 | |
| (417) 782-4116 |
| Full Name | Damour Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1801 W 32nd St Ste 102, Joplin, Missouri |
| Authorized Official Name and Position | Troy R Damour (DO) |
| Authorized Official Contact | 4177824100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Damour Family Medicine Po Box 3177 Joplin MO 64803-3177 Ph: (417) 782-4100 | Damour Family Medicine 1801 W 32nd St Ste 102 Joplin MO 64804-1528 Ph: (417) 782-4100 |
| NPI Number | 1437487790 |
|---|---|
| Provider Enumeration Date | 11/25/2009 |
| Last Update Date | 04/05/2021 |
| Medicare PECOS PAC ID | 2668515701 |
|---|---|
| Medicare Enrollment ID | O20100211000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437487790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2002010040 (Missouri) | Primary |
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