Regional Plastic & Reconstructive

NPI #1578749024 in Joplin, Missouri

Provider Information

NPI Number: 1578749024
Entity Type: Organization
Organization Name: Regional Plastic & Reconstructive
Primary Specialty: Specialist
Enumeration Date: Jan 15, 2008
Last Updated: Jul 24, 2013

Practice Location

Address: 520 E 32ND ST
City: Joplin
State: Missouri
ZIP Code: 64804-3904
Phone: (417) 782-3100

Authorized Official

Name: MRS. DONJA JEAN WOODCOCK
Title: OFFICE MANAGER
Phone: (417) 782-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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