C. Tucker Joustra Family Practice, Inc.

NPI #1609108240 in Lamar, Missouri

Provider Information

NPI Number
1609108240
Entity Type
Organization
Organization Name
C. Tucker Joustra Family Practice, Inc.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 8, 2010
Last Updated
Feb 8, 2010

Practice Location

Address
805 GULF ST
City
Lamar
ZIP Code
64759-1238
Phone
(417) 682-5508

Authorized Official

Name
CLARENCE TUCKER JOUSTRA, D.O.
Title
PRESIDENT
Phone
(417) 682-5508

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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