| Healthsource | |
|
1901 E 32nd St Ste 5 Joplin MO 64804-3071 | |
| (417) 623-8187 | |
| (417) 623-9011 |
| Full Name | Healthsource |
|---|---|
| Speciality | Clinic/center |
| Location | 1901 E 32nd St Ste 5, Joplin, Missouri |
| Authorized Official Name and Position | Ryan S Ford (OWNER) |
| Authorized Official Contact | 4176238187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource 1901 E 32nd St Ste 5 Joplin MO 64804-3071 Ph: (417) 623-8187 | Healthsource 1901 E 32nd St Ste 5 Joplin MO 64804-3071 Ph: (417) 623-8187 |
| NPI Number | 1053542266 |
|---|---|
| Provider Enumeration Date | 08/05/2009 |
| Last Update Date | 10/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053542266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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