Teeter Pediatric Care PC

NPI #1851699029 in Joplin, Missouri

Provider Information

NPI Number: 1851699029
Entity Type: Organization
Organization Name: Teeter Pediatric Care PC
Primary Specialty: Pediatrics
Enumeration Date: Mar 11, 2011
Last Updated: Mar 11, 2011

Practice Location

Address: 3126 WISCONSIN AVE
City: Joplin
State: Missouri
ZIP Code: 64804-2873
Phone: (417) 437-0242

Authorized Official

Name: DR. RAYNI L TEETER, M.D.
Title: OWNER
Phone: (417) 437-0242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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